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CITY OF ORONO 1 11 1 1 1111 1 1 11 1 1 11 l 1 111 I1 I I I II H <br /> 2750 KELLEY PARKWAY * 20 1 7 — 0 0 <br /> DATE ISSUED: 04/17/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2060 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0037 <br /> LEGAL DESC : AMBER WOODS OFFICE CENTRE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: (8)WATER CLOSETS,(14)LAVATORIES,(3)KITCHEN SINKS,(2)DISHWASHERS,(10)FLOOR DRAINS,(1)WASHER,(1)WATEI <br /> HEATER <br /> VALUATION OF PLUMBING 29000 <br /> APPLICANT PLUMBING FIXTURE FEE 362.50 <br /> STATE SURCHARGE PLBG(VALUATION) 14.50 <br /> PALADIN PLUMBING LLC TOTAL 377.00 <br /> 13963 45TH PLACE NE <br /> Payment(s) <br /> ST MICHAEL,MN 55376- CHECK 3031 377.00 <br /> (763)432-5260 <br /> Minnesota State License#:plbg-PC644101,mech-MB005632 <br /> OWNER <br /> CBS MN Properties <br /> P O BOX 575 <br /> LONG LAKE,MN 55356- <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. Ir i <br /> 1 <br /> L'(r.C \ I f C r' <br /> Applicant Permitee Signature Date Issued By Signature Date <br />