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� � CITY OF ORONO �� <br /> 2750 KELLEY PARKWAY * 2 0 1 4 — 0 1 0 8 4 * <br /> DATE ISSUED: 09/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2054 SHOREL[NE DR <br /> PIN : 10-117-23-34-0015 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 002 BLOCK 001 <br /> PERM[T TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: 1 WATER SOFTNEIt <br /> VALUATION OF PLUMB[NG 950 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG (VALUATION) 0.48 <br /> ROBERT B. HILL CO. MAIL-IN FEE 2.00 <br /> 7101 OXFORD STREET <br /> MINNEAPOLIS, MN 55426- TOTAL 52.48 <br /> (952)925-1444 Payment(s) <br /> CHECK 46447 52.48 <br /> OWNER <br /> ALT SR, THOMAS H <br /> 2054 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permihis 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 woFk deseribcd and does- <br /> not grant permission for additional or related work which requires separate <br /> pemiits. 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 I 80 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 /> �� -� ��s.--� �---�--� �� �- �,'� l P�� / � <br /> Applicant Permitee Signature Date Issued By ignature Date <br />