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I _ ♦ <br /> , CITY OF ORONO <br /> * 2 P1 1 4 - 0 0 6 1 9 * <br /> 2750 KELLEY PARKWAY <br /> DAT ISSUED: 06/18/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 311 <br /> PIN � : 33-118-23-12-0079 <br /> LEGAL DESC ,' : STONEBAY OF ORONO CONDOMINNM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE � : PLUMBING(>$500) <br /> PROPERTY TY�E : RESIDENTIAL <br /> CONSTRUCTIO�N TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2)WATEI�CLOSET,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOS ,(1)DISHWASHER,(1) <br /> WASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALU TION) 2.00 <br /> AMERICAN M�CHANICAL CO,INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVF�.N. TOTA 54.00 <br /> PO BOX 205 � <br /> LORETTO, M1�1 55357- Payment(s) <br /> (612)750-0278� CREDIT CARD 6915 54.00 <br /> � OWNER <br /> Citizens Indep�ndent Bank <br /> 5000 36TH ST;W 311 <br /> ST LOUIS PA�K,MN 55416- <br /> AGRE�MENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plaj�s and specifications,applicable City approvals,and the <br /> State Building Cbde. 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 pro�isions 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 becodne null and void if construction authorized is not <br /> commenccd wit in 180 days of the date of issuance,or if construction is <br /> suspended for a eriod of 180 days at any time after work has commenced. <br /> The applicant isl responsible for assuring all required inspections aze <br /> requested in coqformance with the State Building Code.This permit may be <br /> revoked at any�ime for due cause. <br /> � �� � / 1 r/ / <br /> Applicant Pe�rriitee Signature Date Issu By Signature Date <br />