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• CITY OF ORONO PERMIT NO.: 2012-00093 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [SSUEn: 02/07/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY <br /> PIN : 33-118-23-12-0054 �`�� <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WA"I'ER CLOSETS,3 LAVATORIES, 1 BATHTUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING 3000 <br /> APPLICANT PLUMB[NG FIXTURE FEE 50.00 <br /> AMERICAI� MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) I.50 <br /> 7120 71ST AVE.N. TOTAL 51.50 <br /> PO BOX 205 <br /> LORETTO, MN 55357- PAID WITH CC# 9327 <br /> (612)750-0278 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55416- <br />� <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perniit 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 pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing[his type of work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended Y'or a period of 180 days at any time after work has commenced. <br /> I�he app�ant is responsible for assurmg all required inspections are <br /> re ested m c ance with the S[a[e Building Code.This permit may be <br /> r�ked at y t� e r due cause. ; <br /> / i'� �1-� <br /> j - � � / / �" � i ! ! i C7'"l^{ ( j 1 � ,:�' � �-�'_�-_ <br /> Applican erm' ee Signature Date <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />