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CITY OF ORONO * 2 m 1 3 - 0 0 1 1 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2013 <br /> � � ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-ll 7-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTNER <br /> VALUATION OF PLUMBING 9427 <br /> APPLICANT PLUMBING FIXTURE FEE 117.84 <br /> STATE SURCHARGE PLBG(VALUATION) 4.71 <br /> HAFERMAN WATER COND INC. MAIL-IN FEE 2.00 <br /> 12142 12TH AVE S <br /> BURNSVILLE, MN 55337 TOTAL 124.55 <br /> (952)894-4040 Payment(s) <br /> CHECK 15271 124.55 <br /> OWNER <br /> KISSNER,MATT&NEENA <br /> 505 S ]OTH STREET <br /> MINNEAPOLIS,MN 55404- <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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />