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CITY OF ORONO PERMIT NO.: 2004-07894 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/30/2004 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 10/14/2010 <br /> ADDRESS 270 NORTH SHORE DR W <br /> PIN 06-117-23-23-0019 <br /> LEGAL DESC IDYLLVALE FARM <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE PLUMBING PRE 7/01/08 <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER SOFTNER <br /> APPLICANT PERMIT FEE SCHEDULE 15.00 <br /> SURGE WATER CONDITIONING STATE SURCHARGE(VALUATION) 0.50 <br /> 12201 MINNETONKA BLV TOTAL 15.50 <br /> MINNETONKA,MN 55305 <br /> OWNER <br /> TASTAD,JOHN M&KIMBERLEY <br /> 210 NORTH SHORE DR W <br /> MOUND,MN 55364- <br /> AGREEMENT <br /> 5364AGREEMENT 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 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 a' <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />