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CITY OF ORONO * Z 0 1 5 — 0 1 1 7 4 * <br /> c ' I 2750 KELLEY PARKWAY DATE ISSUE : 09/15/2015 <br /> ORONO,MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 205 <br /> PIN : 33-118-23-12-0053 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM � <br /> ' : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSET,I�i(3)LAVATORIES,(2)BATHTUBS,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER, (1)WASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> AMERICAN MECHANICAL CO,INC. NIAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 j TOTAL 54.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 � CREDIT CARD 6203 54.00 <br /> OWNER <br /> Citizens Independent Bank ' <br /> 5000 36TH ST W 205 <br /> ST LOUIS PARK,MN 5541 - , <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is i�sued shall be performed according to <br /> the approved plans and specificatio s,applicable City approvals,and the <br /> State Building Code. This permit i�for only the work described and dces <br /> not grant permission for additional'pr related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or npt specified herein.This permit will <br /> expire and become null and void if ponsVuction authorized is not <br /> commenced within I80 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 ass ing all required inspections are <br /> requested in conformance with the tate Building Code.This permit may be <br /> revoked at any time for due osuse. <br /> � / / <br /> Applicant Permitee Signature Date Issue y Signature Dat <br />