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� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 2 - 0 7 4 1 * <br /> . DATE ISSUE : 08/OU2012 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS � : 2670 KELLEY PKWY #'/p� <br /> PIN : 33-118-23-12-0036 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE I : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 TUB, SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER <br /> VALUATION OF PLUMB G 4000 <br /> APP CANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICA CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 MAIL-IN FEE 2.00 <br /> LORETTO,MN 55357- MISC FEE 0.00 <br /> (612)750-0278 TOTAL 54.00 <br /> O NER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 5541 <br /> AGREEMENT AND WORN STATEMENT <br /> The work for which this perrnit is is ed shall be performed according to <br /> the approved plans and specification,applicable City approvals,and the <br /> State Building Code. This permit is or only the work described and does <br /> not grant permission for additional o related work which requires separate <br /> permits. All provisions of laws and rdinances governing this type of work <br /> shall be compied with whether or no specified herein.This permit will <br /> expire and become null and void if c nstruction authorized is not <br /> commenced within 180 days of the d te of issuance,or if construction is <br /> suspended for a period of 180 days a any time after work has commenced. <br /> The applicant is responsible for ass ing all required inspections aze <br /> requested in conformance with the S te Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Vt� l l l�;y?4-�irLJ l l <br /> Applicant ermitee Signature Date Issued B ignature Date <br /> SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br /> • I <br />