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, , CITY OF ORONO * z 0 1 6 - 0 0 0 0 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU04/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3287 CASCO CIR <br /> PIN : 20-117-23-43-0044 <br /> LEGAL DESC : WINSHIPS SUBD SPRING PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (4)WATER CLOSETS,(4)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(I)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER,(3) <br /> S[LLCOCKS,(1)FLOOR DRAIN,(1)LAUNDRY TRAY,(1)WASHER,(1)WATER HEATER,(1)WATER SOFTENER <br /> VALUATION OF PLUMBING 11000 <br /> APPLICANT PLUMBING FIXTURE FEE 137.50 <br /> STATE SURCHARGE PLBG(VALUATION) 5.50 <br /> LAKE COUNTRY PLUMBING INC TOTAL 143.00 <br /> P O BOX 30 <br /> WACONIA, MN 55387- Payment(s) <br /> (952)467-5000 CREDIT CARD 8695 143.00 <br /> Minnesota State License#:plbg-PC645455 <br /> OW 1vER <br /> STRUCK,JAN&SARAH <br /> 3862 NORTHERN AVE <br /> SPR[NG PARK, MN 55384- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this 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 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in nformance with the State Building Code.This permit may be <br /> revoked an t�me fur due cause. <br /> � � � � -e � / / l <br /> App ' t Permitee Signature ate Issued Signature Date <br />