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* � CITY OF ORONO * Z 0 1 4 - PJ 0 9 9 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2014 <br /> ORONO, MN 55356- <br /> �/ (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 50 KELLEY PKWY <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : CITY OF ORONO ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING (>$500) <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLi1MBING FIX"I�URES: <br /> (4)WATER CI,OSETS,(4)LAVATORIES,(2)SHOWERS,(3)KITCHEN S[NKS,(])SILLCOCK,(5)FLOOR DRAINS,(1)WASHER <br /> (2)WA"I'ER HEATERS,(2)URINALS <br /> VALUATION OF PLUMBING 103555 <br /> APPLICANT STATE SURCHARGE PLBG (VALUATION) 51.78 <br /> TOTAL 51.78 <br /> MINNESOTA PLUMBING INC. Payment(s) <br /> 520 RIVER STREET S CHECK 51.78 <br /> DELANO, MN 55328- <br /> (763)972-9181 <br /> Minnesota State License#: mech-MB003326 <br /> OWNER <br /> City of Orono <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY <br /> P.O. BOX 66 <br /> CRYSTAL BAY, MN 55323- <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. '11iis permit is for only the work described and does <br /> no[gran[permission for additional or related��ork 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 l80 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.'I'his permit may be <br /> revoked a[any time for due cause. <br /> g� �i <br /> Applicant Permitee Signature Date Issued Signature Date <br />