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� -' , CITY OF ORONO _ <br /> • ; * 2 0 1 2 0 1 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUE : 03/02/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> � ai3 <br /> ADDRESS : 2670 KELLEY PKWY # <br /> PIN , : 33-118-23-12-0061 <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 /> VALUATION OF PLUMBING 4000 <br /> APPLICANT <br /> PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHAN�CAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 MAIL-INFEE 2.00 <br /> LORETTO,MN 55357-� MISC FEE 0.00 <br /> (612)750-0278 TOTAL 54.00 <br /> PAID WITH CC# 9327 <br /> � OWNER <br /> Citizens Independent B�nk <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 5541Cr <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this peranit is issued shall be performed according to <br /> the approved plans and spec�fications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for adc�itional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whet�er or not specified herein.This permit will <br /> expire and become null and�void if construction authorized is not <br /> commenced within 180 day of the date of issuance,or if construction is <br /> suspended for a period of 1 0 days at any time after work has commenced. <br /> The applicant is responsibl@ for assuring all required inspections are <br /> requested in conformance�i+ith the State Building Code.This permit may be <br /> revoked at any time for du�cause. <br /> / / / / <br /> Applicant Permitee Sigmature Date Issued By Signature Date <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />