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ffn <br /> CITY OF ORONO * 2 0 1 5 - 0 1 3 8 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3750 NORTHERN AVE <br /> PIN 17-117-23-34-0087 <br /> LEGAL DESC REG. LAND SURVEY NO.0763 <br /> LOT 1 BLOCK 1 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WATER SOFTENER <br /> NOTE: 1 WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. <br /> STATE SURCHARGE PLBG(<$500) 1.00 6030 CULLIGAN WAY MAIL-IN FEE 2.00 <br /> MINNETONKA,MN 55345- TOTAL 18.00 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 8645 18.00 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> MAPLE GROVE,MN 55369- <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 /> Applicant Permitee Signature Date Issued By S ature Date <br />