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`� �, CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 0 1 2 - 1 2 3 5 * <br /> DATE ISSUE : 12/13/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY � � <br /> PIN : 33-118-23-12-0056 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINNM � <br /> : LOT 000 BLOCK 000 i <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYP�i : FIXTURES-MULTIPLE <br /> NOTE: L1NIT 208 <br /> 2 WC,3 LAV, 1 TUB, 1 SHQWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUM$ING 4000 <br /> � <br /> � <br /> i <br /> I <br /> � <br /> �1PPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHA1�iICAL CO,INC. STATE SURCHARGE PLBG(VALUATION 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 52.00 <br /> LORETTO,MN 55357- I <br /> (612)750-0278 � <br /> � � <br /> OWNER i <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMEN�'AND SWOR1�1 STATEMENT <br /> The work for which this plermit is issued shall be performed according to <br /> the approved plans and spiecifications,applicable City approvals,and the <br /> State Building Code. Thi�permit is for only the work described and dces <br /> not grant permission for�dditional or related work which requires separate <br /> permits. All provisions o�'laws and ordinances goveming this type of work <br /> shall be compied with wl�ether or not specified herein.This permit will <br /> expire and become�ull d void if construction authorized is not <br /> commenced within 180 ays of the date of issuance,or if construction is <br /> suspended for a period o 180 days at any time after work has commenced. <br /> The applicant is respons ble for assuring all required inspections aze <br /> requested in conformancJe with the State Building Code.This permit may be <br /> revoked time for�tue cause. <br /> - � � / / ,3. / / <br /> Applic t Permitee 5ignature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A . <br />