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CITY OF ORONO * 2 0 1 6 - 0 1 P1 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 <br /> '�' ORONO,MN 55356- <br /> . (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: NEW:WATER SOFTNER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> WATER DOCTORS MAIL-IN FEE 2.00 <br /> 8201 CENTRAL AVENUE <br /> SPRING LAKE PARK,MN 55432- TOTAL 52.25 <br /> (763)535-1800 Payment(s) <br /> Minnesota State License#:mech-WC645002 CREDIT CARD 8557 52.25 <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <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 Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 180 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 /> ' �-.a V'�-'T�v�J �/ �j� / �lo <br /> �tif � �1�t �� <br /> Applicant Permitee Signature T Date Issued By Signature Date <br />