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CITY OF ORONO PERMIT NO.: 2010-00530 <br /> 2750 KELLEY PARKWAY <br /> '' + ORONO, MN 55356- DA'rE ISSUEn: 06/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3105 CASCO POINT RD <br /> PIN : 20-117-23-34-0006 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1311 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: WATER SOFTNER <br /> VALUATION OF PLUMBING 0 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 0.50 <br /> 1519 148TH AVE NW <br /> ANDOVER, MN 55304 MAIL-[N FEE 2.00 <br /> (763)434-0445 MISC FEE 0.00 <br /> Minnesota State License#: 61240 TOTAL 52.50 <br /> OWNER <br /> RICHEY, KENT& SUE <br /> 3105 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 sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permi[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 construc[ion is <br /> suspended f r a period of 180 days a[any time after work has commenced. <br /> The appli nt is res sib for assuring all required inspections are <br /> req t in conf manc h the State Buiiding Code.This permit may be <br /> r e an ime fo u cause. <br /> / / ,��� / / <br /> c t Pet ' e Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />