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'" ,` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 2 0 1 0 6 9 * <br /> DATE ISSU D: 10/23/2012 <br /> ' ; ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS � : 2670 KELLEY PKWY �Z f C7 <br /> PIN i : 33-118-23-12-0058 <br /> LEGAL DESC � : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE I : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYP�E : FIXTURES-MULTIPLE <br /> NOTE: 2ND FLOOR:2 W�C,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> VALUATION OF PLUN�BING 4000 <br /> I PPLICANT <br /> PLUMBING F'IX\TURE FEE 50.00 <br /> AMERICAN MECHA ICAL CO,INC. STATE SURCHAR�E PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. MAIL-IN FEE � 2.00 <br /> PO BOX 205 i <br /> LORETTO,MN 55357-i l TOTAL 54.00 <br /> (612)750-0278 , <br /> � OWNER <br /> Citizens Independent B <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN�55416- <br /> AGREEMENT ND SWORN STATEMENT <br /> The work for which this pe �t is issued shall be performed according to <br /> the approved plans and spe�fications,applicable City approvals,and the <br /> State Building Code. This p�ermit is for only the work described and does <br /> not grant permission for add�tional or related work which requires sepazate <br /> permits. AIl provisions of lalws and ordinances governing this type of work <br /> shall be compied with whet�er or not specified herein.This permit will <br /> expire and bewme null and oid if construction authorized is not <br /> commenced within 180 day�of the date of issuance,or if construction is <br /> suspended for a period of 1�0 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance 'th the State Building Code.This permit may be <br /> revoked at any time for due ause. <br /> �' i � ��I'y2�-Q-z( i i <br /> Applicant Permitee Sign ture Date Issued By S' ature Date <br /> �SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV �. <br />