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CITY OF ORONO * z 0 1 z - 0 0 7 3 s * <br /> � � 2750 KELLEY PARKWAY DATE ISS En: 08/OU2012 <br /> , ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY #24 J <br /> PIN : 33-118-23-12-0057 <br /> LEGAL DESC I : STONEBAY OF ORONO CONDOMINNM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE II : PLUMBING(>$500) , <br /> PROPERTY TYPE I : RESIDENTIAL <br /> CONSTRUCTION TY1�E : FIXTURES-MULTIPLE <br /> NOTE: 2 WC.3 LAV, 1 T I�B, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING 4000 <br /> A PLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANI AL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. i MAIL-IN FEE 2.00 <br /> PO BOX 205 <br /> LORETTO,MN 55357- MISC FEE 0.00 <br /> (612)750-0278 TOTAL 54.00 <br /> iOWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 5$416- <br /> AGREEMENT A D SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to � <br /> the approved plans and specific tions,applicable City approvals,and the i <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 separate <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 voi 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 ys at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with he State Building Code.This permit may be <br /> revoked at any time for due cau e. <br /> :��-1 l�C.. / / <br /> / <br /> Applicant Permitee Signature Date Issued By ' nature ate <br /> SE ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />