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HIM !' II II II I I III 111 <br /> CITY OF ORONO * 2 8 1 4 — 0 0 1 4 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/18/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 WAYZATA BLVD W <br /> PIN : 36-118-23-43-0001 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: INTERCEPTOR <br /> VALUATION OF PLUMBING 4200 <br /> APPLICANT PLUMBING FIXTURE FEE 52.50 <br /> STATE SURCHARGE PLBG(VALUATION) 2.10 <br /> SCHADEGG MECHANICAL INC TOTAL 54.60 <br /> 225 BRIDGEPOINT DRIVE <br /> Payment(s) <br /> SOUTH ST PAUL, MN 55075- CREDIT CARD 2038 54.60 <br /> Minnesota State License#: plbg-MB005334 <br /> OWNER <br /> Wayzata Country Club <br /> 200 WAYZATA BLVD W <br /> WAYZATA, MN 55391- <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 /> revoked at any time for due cause. <br /> tte - ,l1 <br /> Ap icant Permitee Signature Date <br /> Issue y Signature Date <br />