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' CITY OF ORONO <br /> * z01z - 00zs � * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/16/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3721 CASCO AVE <br /> PIN : 20-117-23-31-0058 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIXTURE <br /> NOTE: WATER HEATER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CHAMPION PLUMBING LLC STATE SURCHARGE PLBG(<$500) 5.00 <br /> 3670 DODD ROAD-SU[TE 100 <br /> EAGAN, MN 55123- MA1L-[N FEE 2.00 <br /> �� TOTAL 22.00 <br /> OWNER <br /> M M JIN, DOUG R WELTY& <br /> 3721 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail be performed according to <br /> the approved plans and specitications,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 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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenccd. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformanee with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> - / / // .� ��, / <br /> Applicant Permitee Sig re Date Issu By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />