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; � � '' CITY OF ORONO <br /> * 201z 00574 * <br /> 2750 KELLEY PARKWAY DATE ISS ED: 06/20/2012 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY #� �d� <br /> PIN : 33-118-23-12-0037 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) I <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TY E : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 T�[JB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER <br /> VALUATION OF PLUII�IBING 4000 <br /> PPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHA ICAL CO,INC. STATE SURCHARGE PLBG(VALUATION� 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 I TOTAL I 52.00 <br /> LORETTO,MN 55357+ PAID WITH CC# 9327 <br /> (612)750-0278 <br /> OWNER <br /> Citizens Independent B <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT D SWORN STATEMENT <br /> 1'he work for which this pe it is issued shall be performed according to <br /> the approved plans and spe ifications,applicable City approvals,and the <br /> State Building Code. T'his ermit is for only the work described and dces <br /> not grant permission for ad itional or related work which requires sepazate <br /> permits. All provisions of 1 ws and ordinances governing this type of work <br /> shall be compied with whet er or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 da of the date of issuance,or if construction is <br /> suspended for a period of 1 0 days at any time after work has commenced. <br /> The applicant is responsibl for assuring all required inspections aze <br /> requested in conformance ith the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> / / �� / / <br /> Applicant Permitee Si ature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />