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t * CITY OF ORONO Wll <br /> * 2 0 1 6 - PJ 1 4 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1555 MAPLE PL <br /> PIN : 08-117-23-33-0030 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 008 BLOCK 006 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE ; WATERSOFTENER <br /> NOTE: WATER SOFTENER <br /> VALUATION OF PLUMBING 500 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 0.25 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-1N FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA,MN 55345- TOTAL 52.25 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 5107 5225 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> DAYTON,MN 55367- <br /> AGRF.EMENT AIYD SWORN STATEMENT <br /> The work for Nhich this pemiit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is Yor only the work described and does <br /> not grant permission for additional or rclated work which rcquires 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 pennit will <br /> expire and become null and roid if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for�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 /> � � �l / <br /> Applicant Permitee Signature Date Issued B ignature Date <br />