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• CITY OF ORONO <br /> * z 0 1 5 — 0 0 1 9 1 * <br /> � 2750 KELLEY PARKWAY nATE Iss[rEn: 02/13/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2794 CASCO POINT RD <br /> PIN : 20-117-23-32-0018 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 022 BLOCK 004 <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 /> CROIX CRYSTAL MAIL-IN FEE 2.00 <br /> 3440 YOERG DR TOTAL 22.00 <br /> HUDSON, WI 54016- <br /> (715)386-8667 Payment(s) <br /> CHECK 13419 22.00 <br /> OWNER <br /> CHESLEY, RANDALL&MICHELLE <br /> 2794 CASCO PT RD <br /> WAYZATA,MN 55391- <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 alI required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��j <br /> ��"��' ���� l.-��- �- ` C?7'Y1i.z i''� � �� � / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />