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-� � CITY OF ORONO * Z 0 1 2 - 0 7 9 6 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUE : 08/17/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY �U5f <br /> PIN I : 33-118-23-12-0038 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) i <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE i : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTU S: <br /> (2)WATER CLOSETS,(3)L VATORIES,(2)BATHTUBS,(1 EACH)SHOWER,KITCHEN SINK,DISPOSAL,DISHWASH R, <br /> AND WASHER <br /> VALUATION OF PLUMB�NG 4000 <br /> � <br /> AP LICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANIC L CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 i MAIL-IN FEE 2.00 <br /> LORETTO,MN 55357- TOTAL 54.00 <br /> (612)750-0278 PAID WITH CC# 9327 <br /> WNER <br /> Citizens Independent B <br /> 5000 36TH ST W <br /> ST LOUIS PARK,MN 55 16- <br /> AGREEMENT A D SWORN STATEMENT <br /> The work for which this permit s issued shall be performed according to <br /> the approved plans and specific tions,applicable City approvals,and the <br /> State Building Code. This pe it is for only the work described and does <br /> not grant permission for additio al or related work which requires sepazate <br /> permits. All provisions of laws nd ordinances governing this type of work <br /> shall be compied with whether r not specified herein.This permit will <br /> expire and become null and voi if construction authorized is not <br /> commenced within 180 days of e date of issuance,or if construction is <br /> suspended for a period of 180 d ys at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with he State Building Code.This permit may be <br /> revoked at any time for due ca e. <br /> � �' l�l/ /� � S /7� � �- <br /> App icant Permitee Signa u e Date Issu By Signature ate <br /> S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> I <br />