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CITY OF ORONO PERM[T NO.: 20ll-00165 <br /> � 2750 KELLEY PARKWAY <br /> ' ' ORONO, MN 55356- DATE ►ssuEn: 03/18/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2715 CAROLINE AVE <br /> PIN : 20-117-23-24-0007 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES - MULTIPLE <br /> N07'E: 1 ST FLOOR: l WC,2 LAV, 1 TUI3 <br /> VALUATION OF PLUMBING 1595 <br /> APPL[CANT PLUMBING FIXTURE FEE 50.00 <br /> THOMPSON PLUMBING STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 15001 MINNETONKA IND RD <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)933-7717 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> REJZER, MR. & MRS. <br /> 2715 CAROLINE AVE <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for w°hich lhis permit is issued shall be perfonned 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 lor additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this t��pe of work <br /> shall be compicd���ith whelher or not specitied herein."I'his pennit will <br /> � expire and become null and void if construction auUiorized 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 /> rcqucsted in conformance with the State I3uildin�Code.This permit may be <br /> rcvoked at any time for due cause. <br /> / / / / <br /> Applicant Permitec Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />