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� <br /> i CITY OF ORONO * z 0 1 6 — 0 0 2 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 517 FERNDALE RD N <br /> PIN : 36-118-23-14-0007 <br /> LEGAL DESC : LINPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> WATER DOCTORS MAIL-IN FEE 2.00 <br /> 8201 CENTRAL AVENUE TOTAL 52.25 <br /> SPRING LAKE PARK,MN 55432- <br /> (763)535-1800 Payment(s) <br /> Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25 <br /> OWNER <br /> ANDERSEN, STEVEN& STACIA <br /> 517 FERNDALE RD <br /> WAYZATA, MN 55391- <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 at any time for due cause. I 1},� <br /> ,��j��(Li� �.� � ��� ; /��u `{s�, =J-� i y�i <br /> Applicant Permitee Signature Date Issued By Signat�re Date <br />