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• <br /> CITY OF ORONO �I 11 1 11 <br /> * 20 1 7 - 0 1 0 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: THIS PERMIT IS FOR 1025 OLD CRYSTAL BAY RD N-ICE ARENA <br /> (8)WATER CLOSETS,(4)LAVATORIES,(10 SHOWERS),(1)WATER COOLER <br /> VALUATION OF PLUMBING 25000 <br /> APPLICANT PLUMBING FIXTURE FEE 312.50 <br /> STATE SURCHARGE PLBG(VALUATION) 12.50 <br /> AMERICAN MECHANICAL CO,INC. TOTAL 325.00 <br /> 7120 71ST AVE.N. <br /> Payment(s) <br /> PO BOX 205 CREDIT CARD 6203 325.00 <br /> LORETTO,MN 55357- <br /> (612)750-0278 <br /> OWNER <br /> 278, ORONO SCHOOL DIST NO. <br /> 795 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <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 type 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 /> revoke• at an ime for due cause. <br /> 9 ( ((id j/)J4"1 9 f ( <br /> _ . f7 <br /> /04e9cAp.licant Permttee Signature Date Issued y Signature Date <br />