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'" � � i CITY OF ORONO <br /> - j 2750 KELLEY PARKWAY * 2 0 1 2 — 0 0 1 7 0 * <br /> DATE ISSUED: 03 02/2012 <br /> " ORONO,MN 55356- <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : �670 KELLEY PKWY ��JD� <br /> PIN : 33-118-23-12-0035 <br /> LEGAL DESC : ISTONEBAY OF ORONO CONDOMINIUM <br /> : ILOT 000 BLOCK 000 <br /> PERMIT TYPE : IPLL7MBING(>$500) <br /> PROPERTY TYPE : IRESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1ST FLOOR:2 WC,3 LAV,I 2 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING I 4000 <br /> APPLIC NT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL C ,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. <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 /> PAID WITH CC# 9327 <br /> OWN R <br /> Citizens Independent Bank <br /> 5000 36TH STREET W <br /> ST LOUIS PARK,MN 55416- j <br /> AGREEMENT AND S ORN STATEME1vT <br /> The work for which this permit is issue shall be performed according to <br /> the approved plans and specifications,a�plicable 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 r�lated work which requires sepazate <br /> permits. All provisions of laws and ord{nances governing this type of work <br /> shall be compied with whether or not sp'ecified herein.This permit will <br /> expire and become null and void if con�truction 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 a�y time after work has commenced. <br /> The applicant is responsible for assurin all required inspections are <br /> requested in conformance with the Stat�Building Code.This permit may be <br /> revoked at any time fo�due cadse. <br /> `�'K-a.�'� �cJ � l l ��]Vj't,��C� l l <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br /> I <br />