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yr ' III I III III 1111 H III III II <br /> CITY OF ORONO * 2013 - 00719 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4550 WOLVERTON PL <br /> PIN : 31-118-23-31-9.99/r60 d-3 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT B BLOCK B <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <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 MISC FEE 0.00 <br /> TOTAL 22.00 <br /> PAID WITH CC# 0597 <br /> OWNER <br /> GHERARDI, RICHARD&LORI <br /> 2985 WATERTOWN ROAD <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. t <br /> Applicant Permitee Signature Date Issue y nature to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . <br />