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CITY OF ORONO * 2 0 1 7 - 0 0 5 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4305 CHIPPEWA LA <br /> PIN : 31-118-23-42-0011 <br /> LEGAL DESC : CHIPPEWA <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 1000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 1.00 <br /> CROIX CRYSTAL WATER TREATMENT MAIL-IN FEE 2.00 <br /> 3440 YOERG DR <br /> HUDSON, WI 54016- TOTAL 53.00 <br /> (715)386-8667 Payment(s) <br /> Minnesota State License#: plbg-WC64997 CHECK 16472 53.00 <br /> OWNER <br /> CORNICK,JAMES&DEBRA <br /> 4305 CHIPPEWA LA <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AIYD 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 does <br /> not grant permission 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 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 /> �� Z��/ ;Z <br /> Applicant ermitee Signature Date ssued B ignature Date <br />