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, CITY OF ORONO * 2 0 1 6 - 0 0 5 2 s * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 559 PARK LA <br /> PIN : 06-117-23-41-0044 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 006 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> VALUATION OF PLUMBING 2050 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.02 <br /> PETERSON SALT&WATER TREATMENT CO. MpIL-IN FEE 2.00 <br /> 1415 STH STREET S <br /> HOPKINS,MN 55343- TOTAL 53.02 <br /> (952)929-0422 Payment(s) <br /> Minnesota State License#:GENR-W 150166459 CHECK 31700 53.02 <br /> OWNER <br /> O'DONNELL,TIMOTHY&JOAN <br /> 559 PARK LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> n a <br /> �J � <br /> Applicant Permitee Signature a e Issued By Signatu Date <br />