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. CITY OF ORONO PERMIT NO.: 2009-00854 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1 U30/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3420 BAYSIDE RD <br /> PIN : OS-117-23-13-0012 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> � CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)933-7200 MISC FEE 0.00 <br /> TOTAL 17.50 <br /> PAID WITH CC# 0597 <br /> OWNER <br /> MILESKI &APRIL NEWTON,BLAIR <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 /> ��� � � � / / <br /> Applicant Permitee Signature Date Issued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />