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CITY OF ORONO * Z 0 1 6 — 0 1 1 8 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2016 <br /> - ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3800 CASCO AVE <br /> PIN : 20-117-23-24-0019 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: NEW FIXTURES: 5 WATER CLOSETS,6 LAVATORY,3 f3ATHTUB,2 SHOWER,2 K[TCHEN SINK, 1 DISHWASHER,2 SILCOCKS, <br /> 2 FLOOR DRAINS, <br /> 1 LAUNDRY TRAY, 1 WASFIER, 1 WATER HEATER, 1 WET BAR <br /> VALUATION OF PLUMBING 18700 <br /> APPLICANT PLUMBING FIXTURE FEE 233.75 <br /> STATE SURCHARGE PLBG(VALUATION) 9.35 <br /> NORTH ANOKA PLUMBING MAIL-IN FEE 2.00 <br /> 22590 RUM RIVER BLVD.N.W. <br /> MN 55070- TOTAL 245.10 <br /> (763)753-3373 Payment(s) <br /> Minnesota State License#: plbg-PC642884 CHECK 6341 245.10 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> MAPLE GROVE,MN 55369- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for oniy 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 atter 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 cause. ���'/� <br /> ,� ' -,. <br /> 1i <br /> �' . 7 , <br /> � , . <br /> � � <br /> C` I i �� �<' <.� c`�,-_i' '? /'_.� e � J 1j � � � /�� <br /> Applicant Permitee Signature � ��� Date [ssued By Signature Date <br />