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� CITY OF ORONO * z 0 1 3 - 0 PJ 5 4 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY _ � ,( ���� � � � <br /> v�—r <br /> PIN : 33-118-23-12-0085 <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: PLUMBING FIXTURES: <br /> (2)WATER CLOSETS,(3)LAVATORIES,(1)E3A'I'H'CUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISFOS�.,(])DISHWASHER <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO, 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- TOTAL 54.00 <br /> (612)750-0278 PAID WITH CC# 6915 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> I he�vork for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicablc 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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time afrer 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 caus <br /> C����� � �� ��� b�ao� �3 <br /> Applicant Permitee Signature Date � <br /> ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />