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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim <br /> CITY OF ORONO * 2 0 1 5 - 0 0 2 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3035 CASCO POINT RD <br /> PIN 20-117-23-34-0001 <br /> LEGAL DESC REG. LAND SURVEY NO. 0394 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: (1)WATER CLOSET <br /> (I)LAVATORY <br /> (1)SHOWER <br /> (1)FLOOR DRAIN <br /> (1)SEWER EJECTOR <br /> VALUATION OF PLUMBING 7000 <br /> APPLICANT PLUMBING FIXTURE FEE 87.50 <br /> STATE SURCHARGE PLBG(VALUATION) 3.50 <br /> B&R PLUMBING&HEATING TOTAL 91.00 <br /> 216 N. MAIN Payment(s) <br /> WNTRHOP,MN 55396- CREDIT CARD 3303 91.00 <br /> (507)647-5362 <br /> OWNER <br /> HULBERT,JAY <br /> 3035 CASCO POINT 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 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 after 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 /> ican Permitee Signature Date Issu By Signature Date <br />