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• ' CITY OF ORONO * Z 0 1 6 — 0 0 6 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> p[N : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 5678 <br /> APPLICANT PLUMBING FIXTURE FEE 70.97 <br /> STATE SURCHARGE PLBG(VALUATION) 2.84 <br /> HAFERMAN WATER COND INC. MAIL-IN FEE 2.00 <br /> 12142 12TH AVE S <br /> BURNSVILLE,MN 55337 TOTAL 75.81 <br /> (952)894-4040 Payment(s) <br /> Minnesota State License#: BUIL-WI50110738 75.81 <br /> OWNER <br /> ELLIOTT, STEVE <br /> 1400 BALDUR PARK RD <br /> WAYZATA, MN 55391- <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 E3uilding 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 Iaws 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 l80 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 /> �l �� � <br /> � l'"1,,C_-�u,--�!°�> �jJ�.�n � ) ` f�/�����. �/ � �/�� <br /> Applicant Permitee Signature � Date Issue y Signature Date <br />