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�• . � CITY OF ORONO PERMIT NO.: 2011-01254 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUED: 10/17/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 753 BOULDER DR <br /> PIN : 33-118-23-11-0074 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NO'I'E: WATER SOFTGNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)912-7379 TOTAL 22.00 <br /> PAID WITH CC# 0597 <br /> OWNER <br /> MASCHOFF, JOHN& DEBRA <br /> 2670 KELLEY PKWY <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pcnnit 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 ofwork <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 /> r�ked at��r�cause. <br /> /d l /� / �� /Dl/ 7 / / <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />