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� CITY OF ORONO PERMIT NO.: 2010-00077 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE ISSUE�: 02/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 155 GOLDEN VIEW DR <br /> PIN ; 33-118-23-43-0014 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> ST. CROIX VALLEY ECOWATER STATE SURCHARGE PLBG (<$500) 0.50 <br /> 3440 YOERG DR <br /> HUDSON, WI 54016- MAIL-IN FEE 1.50 <br /> Minnesota State License#: 064997-WC TOTAL 17.00 <br /> OWNER <br /> SMITH, DOUGLAS <br /> I55 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AIVD SWORIV STATEMENT <br /> "1'he work for which this permit is issued shall be perfornied 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 rcquires separatc <br /> pennits. All provisions of laws and ordinances governing this rype 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 ot�180 days at any time a�ter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due oause. <br /> ♦ <br /> ��� � i i i i <br /> Applicant Permitee Signature Date Issued By " ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />