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1 <br /> CITY OF ORONO PERMIT NO.: 2011-00930 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/06/2011 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: WATER CLOSET 65,LAVATORY 65,BATHTUB 1,SHOWER 62,KITCHEN SINKS 66,SILLCOCKS 4,FLOOR DRAINS 6, <br /> LAUNDRY TRAY 1,WASHER 3,WATER HEATER 2,WATER SOFTNER 1,MISCELLANEOUS 5 <br /> THIS IS FOR THE RESIDENTIAL ASSISTED LIVING FACILITY <br /> VALUATION OF PLUMBING 295000 <br /> APPLICANT PLUMBING FIXTURE FEE 3,687.50 <br /> ASSOCIATED MECHANICAL CONTRACTORS, STATE SURCHARGE PLBG(VALUATION) 147.50 <br /> 1257 MARSCHALL ROAD <br /> SHAKOPEE,MN 55379 TOTAL 3,835.00 <br /> 952-445-5119 <br /> Minnesota State License#: 059419-PM <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON, MN 55437- <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 e cause. <br /> Applicant Permit ignature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />