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� � CITY OF ORONO * 2 0 1 8 - 0 0 3 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 575 SUSSEX CIR <br /> PIN : 04-117-23-32-0013 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 200 <br /> ., APPLICANT � PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.10 <br /> CULLIGAN SOFT WATER SERVICE CO.., MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 52.10 <br /> _._ ._. _. _ . _ Payment(s) <br /> (952)912-7379 CREDIT CARD 6828 52.10 <br /> . OWNER , <br /> STEVENSON,TIM&MARTHA �� � " <br /> 575 SUSSEX CIR <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 suthorized 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 acry time for due cause. <br /> G Z� � ��� �� <br /> Applicant Permit ignature Date Issued By ' ature Date <br />