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' CITY OF ORONO * Z 0 1 5 - 0 1 5 3 0 * <br />� 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 303 <br /> PIN : 33-118-23-12-0071 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WATER CLOSETS,3 LAVATORIES, 1 BATHTUB, 1 SHOWER, 1 KITCHEN S[NK, 1 DISPOSAL, 1 DISHWASHER, 1 LAUNDRY <br /> TRAY, 1 WASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> AMERICAN MECHANICAL CO, INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 54.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CHECK 16166 54.00 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 303 <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,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 laws and ordinances governing this rype 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 responsible 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 /> �, 1 � �, � � �/��) <br /> � �' ;� r�_i��, ��t�..l V<; i,� � �{Q��i,� j , i , �� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />