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• CITY OF ORONO * 2 0 1 4 — PJ 1 3 4 S * <br /> 2750 KELLEY PARKWAY pATE �ssLE��: 1U19/2014 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3225 CASCO CIR <br /> PIN : 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 /> COIYSTRUCTION TYPE : WATER SOFTNER <br /> APPLICANT PLUMBING FIXTURE FEE (<��500) I5.00 <br /> STATE SURCHARGE PLBG (<�500) 5.00 <br /> CULLIGAN SOFT WATER SERVICE CO. MAIL-tN FEE 2.00 <br /> 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55�45 TOTAL 22.00 <br /> (952)912-7379 Payment(s) <br /> CREDIT CARD 8645 22.00 <br /> OWNER <br /> LEESTMA, MARTIN & KATHRYN <br /> 3225 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�hc�vork for�chich this permit is issucd shall he performcd according�o <br /> thc approved plans and specifications,applicable Citv approcals.and the <br /> State Buildin�Code. �I�his permit is for only�the work described and does <br /> not orant permission tor additional or related work which requires separate <br /> permits. All provisions of la�cs and ordinances�o��erning this t��pc��f work <br /> shall be con�pied�vith N�hether or not speciticd herein.l�hi>permit���ill <br /> e�pire and become null and void if construction authorized is not <br /> commenced within 180 dars ot�the date ot�issuance,or if construction is <br /> suspended for a period of 180 da��s at am�time after work has commenced. <br /> The applicant is responsible for assurin�all required inspections are <br /> rcquested in conformance with the State f3uildinc Code.This permit ma��hc <br /> revoked at any tinre for due cause. <br /> �/� <br /> , �,��, •t�c.- f f �. / V �C_l 17 �� / ��/ ��1 <br /> Applicant Permitee Si na urc Date Issued [���Signaturc Date <br />