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N <br /> " CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * 2 0 1 2 0 fD 7 4 0 * <br /> DATE ISS D: 08/OU2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY �i'Z�S� <br /> PIN I : 33-118-23-12-0062 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYP� : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 LALJNDRY TRAY, 1 W HER <br /> VALUATION OF PLUM$ING 4000 <br /> AP LICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO,INC. <br /> 7120 71ST AVE.N. II STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> PO BOX 205 MAIL-IN FEE 2.00 <br /> LORETTO,MN 55357- MISC FEE 0.00 <br /> (612)750-0278 TOTAL 54.00 <br /> WNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55�16- <br /> AGREEMENT AN SWORN STATEMENT <br /> The work for which this permit i issued shall be performed according to <br /> the approved plans and specifica'ons,applicable City approvals,and the <br /> State Building Code. This permi is for only the work described and does <br /> not grant permission for addition 1 or related work which requires separate <br /> pertnits. All provisions of laws d ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void f construction authorized is not <br /> commenced within 180 days of t e date of issuance,or if construction is <br /> suspended for a period of 180 da s at any time after work has commenced. <br /> The applicant is responsible for suring all required inspections are <br /> requested in conformance with th State Building Code.This permit may be <br /> revoked at any time for due caus <br /> �/��� � / / / / <br /> Applicant Permitee Signature Date Issued By S' ature Da e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. <br />