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, CITY OF ORONO PERMIT NO.: 2oiaoossg <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 07/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2408 CASCO POINT RD <br /> PIIY : 20-117-23-12-0023 <br /> LEGAL DESC : NAVARRE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: 1 DISHWASHER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> APPLIANCE CONNECTIONS STATE SURCHARGE PLBG(<$500) 5.00 <br /> 1313 DANITA CR. <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 1.50 <br /> (952)445-4803 MISC FEE 0.00 <br /> Minnesota State License#: 057209PM TOTAL 21.50 <br /> OWNER <br /> GASCH,JAMES <br /> 2408 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <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 /> S[ate Building Code. This permi[is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances goveming this type of work <br /> shal]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 l80 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 S[ate Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> `_�1�t.d�C� (/l1� / / ��y'l,(.�,�-� l l <br /> Applicant Permitee Signature Date Issued By ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />