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� � CITY OF ORONO * z 0 1 4 — 0 0 8 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3650 CASCO AVE <br /> PIN : 20-117-23-31-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 147 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIXTURES- MULTIPLF, <br /> NO"I�E: PLUME3ING FIXTURES: (])WATER CLOSET,(2)LAVATORll��S,91)f3A'I�FI'1'UB AND(1)SHOWER <br /> VALUATION OF PLUMBING 6500 <br /> APPLICANT PLUMBING FIXTURE FEE 81.25 <br /> STATE SURCHARGE PLBG (VALUATION) 3.25 <br /> JANECKY PLUMBING INC. TOTAL 84.50 <br /> 720 PONTIAC PLACE <br /> MENDOTA FIEIGHTS, MN 55120- Payment(s) <br /> (651)365-8680 CHECK 6996 84.50 <br /> OWIYER <br /> GERSOVITZ, MR. & MRS. <br /> 3650 CASCO AVE <br /> WAYZATA, MN 55�91- <br /> AGREEMENT AND SWORN STATEMF,NT <br /> I�he work for���hich tl�is permit is issucd shall bc performcd according to <br /> the approved plans and specifications,applicablc City approvals,and thc <br /> Statc E3uilding Codc. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires sep�rate <br /> permits. All provisions of laws and ordinances governing this typc of���ork <br /> shall be compied with whcther or not specified herein."Chis permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date oY 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[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> 8' �I C' $'� ��i� <br /> Applica t ermitc�Signature Date Issu By Signature Date <br />