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- 7 <br /> '� `-` CITY OF ORONO * 2 0 1 6 - PJ 1 4 5 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/2U2016 <br /> ORONO, MN 55356- <br /> . (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 207 <br /> PIN : 33-118-23-12-0055 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLOSETS,(3)LAVATORIES,(2)BATHTUBS, 1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL,(1)DISWASHER,(1) <br /> WASHER <br /> VALUATION OF PLUMBING 4Q00 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> AMERICAN MECHANICAL CO,INC. MAIL-IN FEE 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 54.00 <br /> LORETTO,MN 55357- Payment(s) <br /> (612)750-0278 CREDIT CARD 6203 54.00 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 207 <br /> ST LOUIS PARK,MN 55416- <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 rype 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ( �'-e � /�� ��� <br /> Applicant Permitee Signature Date Issued Signature Date <br />