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� <br /> CITY OF ORONO * 2 0 1 2 - 0 0 5 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISS ED: 06/20/2012 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> A�DRESS : 2670 KELLEY PKWY � /D?J <br /> PIN ' : 33-118-23-12-0033 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM i <br /> : LOT 000 BLOCK 000 ' <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL � <br /> CONSTRUCTION TY E : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 B, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> VALUATION OF PLU BING 4000 <br /> PLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHAN CAL CO,INC. STATE SURCHARGE PLBG(VALUATION) , 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL ' S2.00 <br /> LORETTO,MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> OWNER <br /> Citizens Independent B ' <br /> 5000 36TH STREET W <br /> ST LOUIS PARK,MN 5 416- <br /> AGREEMENT A D SWORN STATEMENT <br /> The work for which this permi is issued shall be performed according to <br /> the approved plans and specifi ations,applicable City approvals,and the <br /> State Building Code. This pe it is for only the work described and does <br /> not grant permission for additi nal 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 r not specified herein.This permit will <br /> expire and become null and vo' if construction authorized is not <br /> commenced within 180 days o,the date of issuance,or if construction is <br /> suspended for a period of 180 ays at any time after work has commenced. <br /> The applicant is responsible fo asswing all required inspections aze <br /> requested in conformance with he State Building Code.This permit may be <br /> revoked at any time for due ca se. <br /> / / ��.�( � <br /> � <br /> Applicant Permitee Signatu e Date Issued By ature ate <br /> S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />