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� CITY OF ORONO * 2 0 1 2 - 0 0 8 3 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/23/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3131 CASCO CIR <br /> PIN : 20-117-23-34-0007 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 044 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMBING FIXTURES: (1)KITCHEN SINK,(1)DISPOSAL,(1)DISF[WASHER AND(1)WAS}[ER <br /> VALUATION OF PLUMBING 1500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> FREEDOM MECHANICAL STATE SURCHARGE PLBG (VALUATION) OJS <br /> 1 1135 HWY. 7 <br /> WATERTOWN, MN 55388 TOTAL 50.75 <br /> (612)363-6198 PAID WITH CC# 7346 <br /> Minnesota State License#: 004042PM <br /> OWNER <br /> HELMER, TAMI <br /> 3131 CASCO CIR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which this permit 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 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 /> 'Che applicant is responsible for assuring all required inspections are <br /> requested in conformance with the St Building Code.This permit may be <br /> revoked at an fo ue ca s % <br /> :���`� ���3� i 2 <br /> ���. � �ZJ <br /> Applicant Permitee Signature Date Issu d y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />