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� - ! • <br /> CITY OF ORONO * 2 0 1 6 - 0 1 3 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/26/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2526 SANDSTONE LA <br /> pIN : 33-118-23-11-0018 <br /> LEGAL DESC : STONEBAY <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 52.25 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.25 <br /> OW1�iER <br /> BIDON,ELIZABETH <br /> 2526 SANDSTONE LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORI�i 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 Buiiding 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nul(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 /> I <br /> ! /� / �/ /� <br /> Applicant Permitee Signature Date ssued By gnature Date <br />