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CITY OF ORONO PERMIT NO.: 20��-002�0 <br /> ° '2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 04/1 U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-OU34 <br /> LEGAL DESC : REG. LAND SUiRVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: RPZ-LOWER LEVEL BOILER ROOM RPZ'�HAT SERVES THE HEATING SYSTEM <br /> TESTED RPZ SERIAL#274415 OK <br /> REBUILT RPZ SERIAL#729098 OK AFTER REBUIL� <br /> VALUATION OF PLUMBING 506 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> YALE MECHANICAL,INC. STATE SURCHARGE PLBG(VALUATION) 5.00 <br /> 9649 GIRARD AVE S. � <br /> BLOOMINGTON,MN 55431 MAIL-IN FEE 2.00 <br /> (952)844-1661 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> Freshwater Foundation <br /> CARGILL INC <br /> PO BOX 5626 � <br /> MINNEAPOLIS,MN 55440- <br /> AGREEMENT AND SWORN STATEME T <br /> The work for which this permi[is issued shall be performed acco ding to <br /> the approved plans and specifications,applicable City approvals, nd the <br /> State Building Code. This permit is for only the work described d does <br /> not grant permission for additional or related work which require separate <br /> permits. All provisions of laws and ordinances governing this ty e of work <br /> shall be compied with whether or not specified herein.This perm 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 constru tion is <br /> suspended for a period of 180 days at any time after work has co menced. <br /> The applicant is responsible for assuring all required inspections e <br /> requested in conformance with the State Building Code.This pe it may be <br /> revoked at any time for dye cause. <br /> ��'�tRt�t �-�'� / / ���,� /y � l l <br /> , ....�„�., <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQ IRED FOR WORK OTHER THAN DESCRIBED ABO . <br />