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', CITY OF ORONO * z 0 1 3 - 0 1 1 7 7 * <br /> 2750 KELLEY PARKWAY DATE I SUED: 1U04/2013 <br /> ` ORONO,MN 55356- <br /> � (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY ���� <br /> PIN : 33-118-23-12-0065 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINNM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO,INC. STATE SURCHARGE PLBG(VALUATIO ) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 MAIL-IN FEE 2.00 <br /> LORETTO,MN 55357- TOTAL 54.00 <br /> (612)750-0278 <br /> ' OWNER <br /> Citizens Independent$ank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this peamit is issued shall be performed according to <br /> the approved plans and spqcifications,applicable City approvals,and the <br /> State Building Code. This;permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of�aws and 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 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 days at any time after work has commenced. <br /> The applicant is responsib(e for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for�due cause. <br /> �� L� / / / / <br /> Applicant Permitee Signature Date Issued y ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED V . <br />