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� CITY OF ORONO PERMIT NO.: 2008-00417 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 1U25/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3300 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0011 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : F[XTURE <br /> NOTE: WATER SOF"ITIER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) I5.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 6030 CULL[GAN WAY <br /> MINNETONKA, MN 55345 MAIL-[N FEE 1.50 <br /> (612)473-3297 TOTAL 17.00 <br /> OWNER <br /> JMA Builders I,LC <br /> LLC, JMA BUILDERS <br /> 6065 EUREKA RD <br /> SHOREWOOD, MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this pemiit is issued shall be performed according to <br /> the approved pians and specifications,applicable Ciry approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant pennission 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 bccome null and void if construction audiorizcd is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time afrer 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 /> `y��-c�. �L / / / / <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES IBED ABOVE. <br />