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f CITY OF ORONO * Z 0 1 6 - 0 0 6 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3928 CHERRY AVE <br /> PIN : 08-117-23-33-0018 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 495 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> RICHARD'S CUSTOM WATER TOTAL 50.25 <br /> 7600 W 27TH STREET#214 Payment(s) <br /> MINNEAPOLIS,MN 55416- CREDIT CARD 0046 50.25 <br /> (952)920-4200 <br /> Minnesota State License#: BUIL-WM061456 <br /> OWNER <br /> GUSTAFSON,JOEFFREY&ANNA <br /> 3928 CHERRY ST <br /> MOUND,MN 55364- <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,app►icable City approvals,and die <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� 0 days at any time after work has commenced. <br /> The applicant is respon e for assuring all required inspections are <br /> requested in confo�ance with the State Building Code.This pemiit may be <br /> revoked at any fith��f`o�d��e. i <br /> / <br /> � i � f <br /> � � � ✓ <br /> G -� � � � ��� <br /> pplica P itee ignature �a Issued B ignature Date <br />