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, ' CITY OF ORONO * 2 1 7 — 0 0 1 5 4 * <br /> 2750 KELLEY PARKWAY E ISSUED: 02/2U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2010 SHORELINE DR ��8 ^�'1� <br /> PIN : 10-117-23-31-0001 �■� <br /> LEGAL DESC : UNPLATTED 10 117 23 r' <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING t��,�, <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER �. a <br /> NOTE: REPLACE:WATER SOFTENER ����� <br /> VALUATION OF PLUMBING 500 � <br /> � <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-[N FEE 2.00 <br /> 6030 CULLIGAN WAY TOTAL 52.25 <br /> MINNETONKA, MN 55345- <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 52.25 <br /> OWNE <br /> HUDSON-WINER, MICHEL <br /> 2010 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMEN AND SWORN STATEMENT <br /> The work for which th' ermit is issued shall be performed according to <br /> the approved plans a specifications,applicable City approvals,and [he <br /> State Duilding 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 t AO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> -. --- <br /> �; , ;, � } � <br /> � - <br /> -� - <br /> I ������ i � �� r���t c�,;c�,� f�-�.-t`.- � �� � � r , � ) <br /> Applicant Permitee Signature Date Issued By Signature Date <br />