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. <br /> � CITY OF ORONO PERMIT NO.: 2011-01464 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 1U22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2868 CASCO POINT RD <br /> PIN : 20-117-23-31-0067 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: REPLACE WATER SOFTENER <br /> APPLICANT <br /> PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CULLIGAN SOFT WATER SERVICE CO. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 6030 CULL[GAN WAY <br /> MINNETONKA, MN 55345 MAIL-IN FEE 2.00 <br /> �9s2>912-�3�9 TOTaL 22.00 <br /> PAID WITH CC# 0597 <br /> OWNER <br /> LINDGREN, EVERETT <br /> 2868 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 /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau e. <br /> ��i��..�.� ��� a� � i (� ���- i i � � � <br /> Applicant Permitee Signature Date Issue �By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />