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." CITY OF ORONO PERMIT NO.: 2011-01238 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/12/2011 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2445 WOODHAVEN DR <br /> PIN : 33-118-23-41-0010 <br /> LEGAL DESC : LEVERINGS WOODHAVEN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: WATER SOFTENER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 1313 DANITA CR. <br /> SHAKOPEE, MN 55379 TOTAL 20.00 <br /> (952)445-4803 <br /> Minnesota State License#: 057209PM <br /> OWNER <br /> HARRIS,JOHN&PATRICIA <br /> 2445 WOODHAVEN DR <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 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked atd any time cause. <br /> C /0/ /i 1/ ' / (50/LA..„4_ <br /> / fc2-1 / / <br /> Applicant Permitee Signature Date IssBy ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />