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, <br /> � CITY OF ORONO * Z 0 1 5 - Pl 1 5 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3285 CARMAN RD <br /> PIN : 20-117-23-14-0013 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CO1vSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTNER <br /> APPLICAI�TT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> CROIX CRYSTAL WATER TREATMENT MAIL-IN FEE 2.00 <br /> 3440 YOERG DR <br /> HUDSON, WI 54016- TOTAL 18.00 <br /> (715)386-8667 Payment(s) <br /> Minnesota State License#: plbg-WC64997 CHECK 14567 18.00 <br /> OWNER <br /> SALLEE, L MOLSATHER&L <br /> 3285 CARMAN RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or celated work which requires separate <br /> permits. AII 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 at any time for due cause. <br /> . <br /> ��I � �/�� <br /> ` � ��� � �_r��� �-' !". � .(- r_ � j �,E_� .{ C`— r��/ -� / ��_ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />