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� �`` CITY OF ORONO <br /> * 2 PJ 1 6 — 0 1 0 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 60 SMITH AVE <br /> PIN : 02-117-23-21-0003 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 041 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIv TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 485 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.24 <br /> RICHARD'S CUSTOM WATER TOTAL 50.24 <br /> 7600 W 27TH STREET#214 payment(s) <br /> MINNEAPOLIS,MN 55416- CHECK 14220 50.24 <br /> (952)920-4200 <br /> Minnesota State License#: BUIL-WM061456 <br /> OWNER <br /> MILLER, ROBERT <br /> 60 SM[TH AVE <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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days any time after work has commenced. <br /> The applicant is responsible for a unng all required inspections are <br /> requested in conformance wi ate Building Code.This permit may be <br /> revoked at any time for�l�caus <br /> ' �'� :���E� � <br /> � � �� /(o <br /> Applicant Permitee Signature Date Issued B ignature Date <br />