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Y � I <br /> ; CITY OF ORONO * 2 0 1 z - i z 3 8 * <br /> , � �I 2750 KELLEY PARKWAY DATE ISSUE : 12/13/2012 <br /> ', ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY !+� z2Q <br /> PIN ' : 33-118-23-12-0068 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> I : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: LJNIT 220 <br /> 2 WC,3 LAV, 1 TUB, 1 SHOVI�ER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMBING 4000 <br /> APP ICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANIC L CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 TOTAL 52.00 <br /> LORETTO,MN 55357- <br /> (612)750-0278 <br /> O NER <br /> MORTENSON,CORY <br /> 2670 KELLEY PKWY <br /> iJNIT 220 <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AN SWORN STATEMENT <br /> The work for which this permit is ssued shall be performed according to <br /> the approved plans and specificati ns,applicable Ciry approvals,and the <br /> State Building Code. This permit s 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 anp ordinances governing this type of work <br /> shall be compied with whether or ot specified herein.This permit will <br /> expire and become null and void i construction authorized is not <br /> commenced within 180 days of th date of issuance,or if construction is <br /> suspended for a period of 180 day at any time after work has commenced. <br /> The applicant is responsible for as uring all required inspections aze <br /> requested in conformance with th State Building Code.This permit may be <br /> revoke a time for due cause. <br /> � i i y^ l l <br /> Applic t Permitee Signature Date Issued y ature Da <br /> SEP RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />