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. CITY OF ORONO * 2 0 1 6 - 0 0 9 3 0 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 08J1U2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2445 SHADYWOOD RD <br /> PIN : 20-117-23-11-0015 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: REPLACING:(3)WATER CLOSETS,(3)LAVATORIES,(2)KITCHEN SINKS,(3)FLOOR DRAINS,(1)LAiJNDRY TRAY,(1)WATER <br /> HEATER <br /> VALUATION OF PLUMBING 21075 <br /> APPLICANT PLUMBING FIXTURE FEE 263.44 <br /> STEINKRAUS PLUMBING INC. STATE SURCHARGE PLBG(VALUATION) 10.54 <br /> 112 E STH ST MAIL-IN FEE 2.00 <br /> SUITE 101 TOTAL 275.98 <br /> CHASKA,MN 55318 Payment(s) <br /> (952)361-0128 CHECK 31611 275.98 <br /> Minnesota State License#:mech-MB003824 <br /> OWNER <br /> Bridgewater Bank <br /> 3800 AMERICAN BLVD W <br /> SUITE 100 <br /> BLOOMINGTON,MN 55431- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 requ'ved 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 /> � �,�'�-( �cf �l,t'�� ��j �) ��-u-f-S (�� g � t l � l.h <br /> Applicant Permitee Signature Date Issued By Signature Date <br />