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CITY OF ORONO PERMIT NO.: 2008-00416 <br /> 2750 KELLEY PARKWAY <br /> t ' ORONO, MN 55356- DATE IssuED: 1 U25/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1375 CHERRY PL <br /> PIN : 08-117-23-32-0024 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 012 <br /> PERMIT TYPE : PLUMB[NG (<$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: <br /> WATERSOFTENER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 0.50 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 1.50 <br /> (612)473-3297 TOTAL 17.00 <br /> OWNER <br /> MASOTTO, RACHEL <br /> 1375 CHERRY PL <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> l he work Cor which this permit is issued shal)be performed according to <br /> the approved plans and specifications,applicabie Ciry 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 specitied 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 alI required inspections are <br /> requested in conformance wi[h the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> `�.a,�! c�,� i i i i <br /> Applicant Permitee Signature Date [ssued I3y gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC BED ABOVE. <br />