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i► 'r <br /> CITY OF ORONO PERMIT NO.: 2011-01078 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 465 SPRING HILL RD <br /> PIN : 25-118-23-34-0002 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 5000 <br />� <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> BERGERSON-CASWELL INC. STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> 5115 INDUSTRIAL ST. TOTAL 65.00 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-3121 <br /> OWNER <br /> ZONA TRUSTEE,RICHARD A <br /> 55 ARBOR CT <br /> TONKA BAY,MN 55331- <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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.l'his 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revo time for due cause. <br /> i�. 9 � i9 � �i , , <br /> Applicant Permitee Signature Date Iss y ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />