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CITY OF ORONO * 2 0 1 5 - 0 1 0 6 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 PINE VIEW DR <br /> PIN : 28-118-23-42-0010 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> WATER DOCTORS MA[L-IN FEE 2.00 <br /> 8201 CENTRAL AVENUE <br /> SPRING LAKE PARK,MN 55432- TOTAL 18.00 <br /> (763)535-1800 Payment(s) <br /> Minnesota State License#:mech-WC645002 CREDIT CARD 6404 18.00 <br /> OWNER <br /> WIGGINS,JASON&AMANDA <br /> 410 N 2ND ST <br /> UNIT 449 <br /> MINNEAPOLIS, MN 55401- <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 addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. `��� <br /> � <br /> �� �, �1��� � f�C�� � ��.`�S� <br /> � i Z� � !� - <br /> Applicant Permitee Signature Date Issued By Signature Date <br />