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CITY OF ORONO ll I I III I II ! ll Ill 11111 11 <br /> * 2014 - 00143 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: LAUNDRY TRAY <br /> VALUATION OF PLUMBING 800 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> ASSOCIATED MECHANICAL CONTRACTORS, STATE SURCHARGE PLBG(VALUATION) 0.40 <br /> 1257 MARSCHALL ROAD MAIL-IN FEE 2.00 <br /> SHAKOPEE, MN 55379 TOTAL 52.40 <br /> 952-445-5119 Payment(s) <br /> Minnesota State License#: mech-059419-PM,plbg-PC643141 CREDIT CARD 5255 52.40 <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- <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 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 180 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.This permit may be <br /> revoked at any time for due cause. <br /> (-2/U Lae" <br /> Applicant Permitee Signat at Issu By Signature Date <br />