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� � • CITY OF ORONO PERMIT NO.: 2011-01038 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPR TED ON 9/13/2011 <br /> ADDRESS : 2670 KELLEY PKWY��� q <br /> PIN : 33-118-23-12-0087 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES LJNIT#319 <br /> (2)WATER LCOSET,(3)LAVATORIES,(2)BATHTUBS,(1)SHOWER,(l)KITCHEN SINK,(1)DISPOSAL,(1)DISHWASHER <br /> (1)WASHER <br /> VALUATION OF PLUMB[NG 2500 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 1.25 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 5125 <br /> LORETTO, MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> Minnesota State License#: 065381 PM <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speciYications,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 type of work <br /> shall be compied with whether or not specitied 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 /> / / /�� <br /> Applicant Permitee Signature Date Iss d y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />