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� , CITY OF ORONO * Z 0 1 5 - P1 PJ 3 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2690 CAROLINE AVE <br /> P�N : 20-117-23-24-0033 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : WATER SOFTNER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 490 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> RICHARD'S CUSTOM WATER STATE SURCHARGE PLBG (VALUATION) 0.25 <br /> 6121 EXCELSIOR BLVD. #206 TOTAL 50.25 <br /> ST. LOUIS PARK, MN 55416- Payment(s) <br /> (952)920-1200 CHECK 13522 50.25 <br /> Minnesota State License#: BUIL-WM061456 <br /> OWNER <br /> LIBERMAN,ZIV&TAL <br /> 2690 CAROLINE AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIY 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 goveming this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 /> 'I'he applicant is responsible for assuring all required inspections are <br /> requested in conforman�c with the State Building Code.This permit may be <br /> revoked at any time�eff cause. <br /> / <br /> / � y Y <br /> � �'l -/I ; <br /> / / /S <br /> A licant Permitee Signature Date Issued Signature Date <br />