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CITYOFORONO * 2QJ 14 - 00347 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 744 DICKEY LAKE DR <br /> PIN : 27-118-23-33-0007 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 5.00 <br /> CULC,IGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 TOTAL 22.00 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 8645 22.00 <br /> OWNER <br /> PETTIS,GERALD&ALICE <br /> 744 DICKEY LAKE DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The worh tbr�vhich this permit is issued shall be perfbm�ed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is tor only the work described and does <br /> not granl permission for additional or related�vork���hich 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 I 80 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 anv time tbr due cause. <br /> �.��� / / <br /> npplicant Permitee Signature Date Issued I3 ignature Date <br />