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t , <br /> ' � CITY OF ORONO PERMIT NO.: 2009-00146 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 04/28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3340 SHORELINE DR <br /> PIN : 17-117-23-44-0085 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1433 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 1 HAND SINK <br /> 2 FLOOR DRAINS <br /> VALUATION OF PLUMBING 4500 <br /> APPLICANT PLUMBING FIXTURE FEE 56.25 <br /> MID-CITY MECHANICAL CORP. STATE SURCHARGE PLBG(VALUATION) 2.25 <br /> 9103 DAVENPORT STREET NE <br /> BLAINE,MN 55449 MAIL-IN FEE 2.00 <br /> (763)786-8617 MISC FEE 0.00 <br /> TOTAL 60.50 <br /> OWNER <br /> VOYAGEUR SERVICE CENTERS,INC. <br /> 3340 SHORELINE DR <br /> NAVARRE,MN 55392- <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 sepazate <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 /> revoked at any time for due cause. <br /> � i d''if� i� 1 <br /> Applicant Permitee S} ature � Is ed By Signature �Date �/� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />