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« CITY OF ORONO PERMIT NO.: 2oos-oo2�6 <br /> � 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- DATE IssuEn: 09/12/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2811 CASCO POINT RD <br /> PIN : 20-117-23-32-0013 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 122 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: <br /> WATER HEA"1'ER <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> NORBLOM PLUMBING CO. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 2905 GARFIELD AVENUE S. <br /> MINNEAPOLIS, MN 55408 MAIL-IN FEE 1.50 <br /> (612)827-4033 TOTAL 17.00 <br /> Minnesota State License#: 061521-PM <br /> OWNER <br /> NORSTED,THERESA <br /> 2811 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 /> 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible far 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 /> `�� � � � (�yr2.�,2 y , ��,o� <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />