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, CITY OF ORONO PERMIT NO.: 2009-00135 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISS[1Eu: 04/03/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3247 CASCO CIR <br /> PIN : 20-117-23-43-0009 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 013 BLOCK 000 <br /> PERMIT TYPE : PLUMB[NG (<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER HEATER <br /> APPLICANT WATER HEATER 15.00 <br /> LARSON PLUMBING INC. STATE SURCHARGE PLBG(<$500) 0.50 <br /> 3095 162ND LANE NW <br /> ANDOVER, MN 55304 MAIL-[N FEE 2.00 <br /> (763)427-7680 TOTAL 17.50 <br /> OWNER <br /> CARLSON, KURT& LUCILLE <br /> 3247 CASCO CIR <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 specitications,applicable City approvals,and thc <br /> State Building Code. This perniit 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 rcquired inspections are <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revoked a[any time for due cause. , , <br /> ����� �..4'"X � � -�c�� <br /> Applicant Permitee Signature Date � �l�L � (ry'y����"1 /l �`�/� <br /> Issued By Sighature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />