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. . <br /> CIT OF ORONO * Z 0 1 2 - 0 0 5 0 5 * <br /> 2750 KE LEY PARKWAY DATE ISSUED: 06/1U2012 <br /> ORO O, MN 55356- <br /> 952 249-460 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINE�S <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: 1 RPZ <br /> VALUATION OF PLUMBING 845 <br /> i <br /> APPLICANT pLUMBING FIXTURE FEE 50.00 <br /> YALE MECHANICAL,INC. STATE SURCHARGE PLBG(VALUATION) 0.42 <br /> 9649 GIRARD AVE S. <br /> BLOOMINGTON,MN 55431 MAIL-IN FEE 2.01 <br /> (952)8441661 TOTAL 52.43 <br /> OWNER <br /> Freshwater Foundation <br /> CARGILL INC <br /> PO BOX 5626 <br /> MINNEAPOLIS,MN 55440- <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke t any time for due caus . <br /> �/ �� / / �O/ �� / / �-- <br /> Applicant Permitee Signa re _ Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED F R WORK OTHER THAN DESCRIBED ABOVE. <br />