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,, CITY OF ORONO PERMIT NO.: 20o�-oos94 . <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/15/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2377 SHADYWOOD RD <br /> PIN : 17-117-23-44-0009 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTE: KITCHEN SINK <br /> APPLICA1�iT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> CENTER POINT PLUMBING STATE SURCHARGE PLBG(<$500) 0.50 <br /> 20129 WOLVEWNE STREET TOTAL 15.50 <br /> ELK RIVER,MN 55330- <br /> (763)516-4295 <br /> OWNER <br /> Lake Country Coffee,Inc. <br /> INC.,LAKE COUNTRY COFFEE, <br /> 2377 SHADYWOOD RD <br /> WAYZATA,MN <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 /> permiu. 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 /> revo ed at an time for due cause. <br /> � �� l �,�lU�'j l l <br /> p i t Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />