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" CITY OF ORONO <br /> * 2013 - 00216 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 2645 WATERTOWN RD <br /> PIN 04-117-23-12-0008 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD ADDN <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: WATER SOFTNER AND IRON FILTER&R.O.UNIT <br /> VALUATION OF PLUMBING 4800 <br /> APPLICANT PLUMBING FIXTURE FEE 60.00 <br /> BERGERSON-CASWELL INC. STATE SURCHARGE PLBG(VALUATION) 2.40 <br /> 5115 INDUSTRIAL ST. TOTAL 62.40 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-3121 <br /> OWNER <br /> VANOVERBEKE,PETER&AMANDA <br /> 2645 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 <br /> lick l l <br /> A c errtite ig re Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />