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. � , i <br /> CITY OF ORONO * Z 0 1 - 0 0 2 6 5 * <br /> 2750 KELLEY PARKWAY DATE IS UED: 04/19/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY — l� I I � <br /> PIN : 33-118-23-12-0048 <br /> LEGAL DESC I : STONEBAY OF ORONO CONDOMINIUM ' <br /> ' : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE � : RESIDENTIAL , <br /> CONSTRUCTION T1�PE : FIXTURES-MULTIPLE <br /> NOTE: (2)WATER CLO�SETS,(3)LAVATORIES,(1)BATHTUB,(1)SHOWER,(1)KITCHEN SINK,(1)DISPOSAL, <br /> (1)DISHWASHER,(1)W�SHER � <br /> VALUATION OF PLU BING 4000 ' <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANTCAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. I <br /> PO BOX 205 MAIL-IN FEE 2.00 <br /> LORETTO,MN 5535'7- MISC FEE 0.00 <br /> (612)750-0278 , TOTAL 54.00 <br /> PAID WITH CC# 6915 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W I <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT AfND SWORN STATEMENT <br /> The work for which this perm�t 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 addit�onal or related work which requires sepazate <br /> permits. All provisions of law�s and ordinances goveming this type of work <br /> shall be compied with whethe�or not specified herein.This permit will <br /> expire and become null and v0id 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 fqr assuring all required inspections are <br /> requested in conformance witl�the State Building Code.This permit may be <br /> revoked at any time for due caus � <br /> ll `�'l / i /9' l/.3 <br /> App icant Permitee S' Date Issue y Signature ate <br /> S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />