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CITY OF ORONO I I I 1 I 111 II I i 11111111 I i 11111I11 <br /> * 2015 - 01168 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/15/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2160 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0002 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS,(2)LAVATORIES,(1)KITCHEN SINK,(2)FLOOR DRAINS,(1)WATER HEATER <br /> VALUATION OF PLUMBING 5000 <br /> APPLICANT PLUMBING FIXTURE FEE 62.50 <br /> STATE SURCHARGE PLBG(VALUATION) 2.50 <br /> AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 67.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 67.00 <br /> OWNER <br /> Orono Station West <br /> ERICKSON,BRAD <br /> 2486 BOBOLINK RD <br /> LONG LAKE,MN 55356- <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 /> ( v ) �1 9 75X5_ <br /> Applicant Permitee Signature Date Issu d B ignature Date <br />