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CITY OF ORONO 11111111111111111111111 III II III III II <br /> * 2018 - 00508 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1920 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-0031 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (1)WATER SOFTENER AND(1)REVERSE OSMOSIS <br /> VALUATION OF PLUMBING 3597 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> MERLE'S WATER STATE SURCHARGE PLBG(VALUATION) 1.80 <br /> 2200 CASTLE AVE TOTAL 51.80 <br /> NORTH ST PAUL,MN 55109- <br /> Payment(s) <br /> (651)777-1349 CREDIT CARD 9341 51.80 <br /> Minnesota State License#:plbg-WC002289 <br /> OWNER <br /> DAUM,GEORGE&NORA <br /> 1920 FAGERNESS PT RD <br /> WAYZATA,MN 55391- <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 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 /> ior..) (7,z/, ,/y <br /> Applicant Permitee Signature Date Issued By gnature Date <br />