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� CITY OF ORONO * Z 0 1 4 - 0 0 5 2 1 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1700 FOX ST <br /> PIN : 03-117-23-41-0007 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: IRON FIL'TER <br /> VALUATION OF PLUMBING 2100 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) ].OS <br /> CLEARWATER SYSTEMS, INC. TOTAL 51.05 <br /> 1519 148TH AVE NW Payment(s) <br /> ANDOVER, MN 55304 CHECK 34121 51.05 <br /> (763)434-0445 <br /> Minnesota State License#: plb�61240 <br /> OWNER <br /> Craigbank Associates <br /> 15407 MCGINTY RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specif cations,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 con ance wi e tate Buiiding Code.This permit may be <br /> revoked t a time for cau <br /> ,i� %' <br /> %�� / / <br /> ic t Perm tee ' 'ature ate Issued By i nature Date <br />