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, CITY OF ORONO * z Q� 1 5 — 0 1 4 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U09/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3225 CASCO CIR <br /> P[N : 20-117-23-43-0021 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 029 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : WATER SOFTENER <br /> APPLICAI�TT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345- TOTAL 18.00 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 8645 18.00 <br /> OWNER <br /> LEESTMA, MART[N&KATHRYN <br /> 3225 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which[his 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 gran[permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing Ihis 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 /> ,� , ��i�� <br /> �l k <br /> f ' 1 / p <br /> �� Ca � '.�C� �'���� `�_���_�/� � ���%t-S�; � (/ � / �� <br /> Appficant Permitee Signature Date Issued By Signaiwre Date <br />