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CITY OF ORONO * 2 PJ 1 2 - 0 P1 7 6 1 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 WATER SOPTNER <br /> 1 REVERSE OSOMOSIS FILTER <br /> VALUATION OF PLUMB[NG 2100 <br /> APPLICANT PLUMBING F[XTURE FEE 50.00 <br /> CLEARWATER SYSTEMS, INC. STATE SURCHARGE PLBG(VALUATION) 1.05 <br /> 1519 148TH AVE NW <br /> ANDOVER, MN 55304 TOTAL 51.05 <br /> (763)434-0445 <br /> Minnesota State License#: 61240 <br /> OWNER <br /> KIMMES, TODD <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The��ork for which this permit is issued shall bc performed according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. 'I�his 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 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 conformap�e with the State Building Code.This permit may be <br /> rev ed at any tin}�fo��cause. <br /> ,�'� ii/�,�.n,;i` /�.��� � .� i/ — <br /> � � � �-}�_ �- � / / <br /> /� i ant e ' Signature ate [ssued By S� ature � � ' Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />