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! '� <br /> � CITY OF ORONO * z 0 1 z - 0 0 7 7 5 * <br /> ,��'�` 2750 KELLEY PARKWAY DATE ISSUED: 08/09/2012 <br /> -� ��j ORONO, MN 55356- <br /> � � (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS . 45 SHORELINE DR <br /> PIN : "20-117-23-12-0033 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(<$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: HOOKUP FOR DISHWASHER,ICEMAKER AND DIPPERWELL <br /> APPLICANT PLUMBING FIXTURE FEE(<$500) 15.00 <br /> GBG MECHANICAL STATE SURCHARGE PLBG(<$500) 5.00 <br /> P O BOX 152 TOTAL 20.00 <br /> CHASKA,MN 55318- <br /> (612)743-3116 PAID WITH CC# 8795 <br /> OWNER <br /> Shoreline Center <br /> OVERSON,ALECK <br /> 16837 49TH PLACE N <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speci£cations,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 /> � � g-, 9 ,��. <br /> Applicant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />