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CITY OF ORONO PERMIT NO.: 20ll-00378 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUE�: OS/23/2011 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2980 CASCO POINT RD <br /> PIN : 20-117-23-31-0061 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1423 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> VALUATION OF PLUMB[NG 1600 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> BENJAMIN FRANKLIN PLUMBING STATE SURCHARGE PLBG (VALUATION) 0.80 <br /> 1424 3RD STREET N <br /> MINNEAPOLIS, MN 55411- MAIL-IN FEE 2.00 <br /> (763)755-6468 MISC FEE 0.00 <br /> TOTAL 52.80 <br /> OWNER <br /> GIESLER, SUSAN <br /> 2980 CASCO POINT RD. <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and specifi�ations,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additi�nal 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 specitied herein.This permit will <br /> expire and become null and vo;d 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 /> 'I�he applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due�Cause. <br /> �l�uL � � � <br /> -r � <br /> ApplicantPermitec Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED UE. <br />