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' CITY OF ORONO PERMIT NO.: 2010-01203 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssvEn: 12/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3799 CASCO AVE <br /> PIN : 20-117-23-32-0021 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 014 BLOCK 004 <br /> � PERMIT TYPE : PLUMBING (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER SOFTNER <br /> NO"I'E: WATI;R SOFTENLR <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG (<$500) 5.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> (952)912-7379 TOTAL 22.00 <br /> PA[D W[TH CC# 0597 <br /> OWNER <br /> DAVIES,JEFF& KRESTA <br /> 3799 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permil is issucd shall bc performed according to <br /> the approvcd plans and specitications,applicable City approvals,and the <br /> Statc Dui�ding Code. 'l�his permit is for only the work described and does <br /> not grant permission for additional or related�rork���hich requires separate <br /> permi�s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is nol <br /> commenced�vithin 180 days of d�e date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has conunenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with thc State Building Code.This pennit may be <br /> revoked at any time Cor due cause. <br /> ld-�C�C � / � �j"�`"' � l l /O <br /> Applicant Permitee Signa e Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />