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, ' <br /> CITY OF ORONO * 2 0 1 2 - 0 0 4 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/31/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3333 SHORELINE DR <br /> PIN : 20-117-23-11-0024 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE ' <br /> NOTE: WATER SUPPLY LINE TO BEVERAGE CARBONATION MACHINE. ALREADY INSTALLED BY BEVERAGE COMPNAY <br /> INSTALL CHECKED BY OUR PLUMBER. <br /> APPLICANT pLiJMBING FIXTURE FEE(<$500) 15.00 <br /> CORPORATE MECHANICAL,INC. STATE SURCHARGE PLBG(<$500) 5.00 <br /> 5114 HILLSBORO AVE.N. <br /> NEW HOPE,MN 55428 MAIL-IN FEE 2.00 <br /> (763)533-3070 MISC FEE 0.00 <br /> Minnesota State License#: PC642679 TOTAL 22.00 <br /> OWNER <br /> Lunds,Inc. <br /> INC.,LLJNDS, <br /> 4100 W SOTH STREET#2100 <br /> EDINA,MN 55424 <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 sepazate <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 /> T'he 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 fqF due cause. <br /> `�y�,�,�'Q `�r` � � ���vtQ—'� � � <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />