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* . , <br /> CITY OF ORONO * Z 0 1 3 - 0 3 B 8 * <br /> � 2750 KELLEY PARKWAY DATE ISSUE : OS/2U2013 <br />, , ORONO,MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY �1•� I <br /> PIN : 33-118-23-12-0049 <br /> LEGAL DESC � : STONEBAY OF ORONO CONDOMINIUM <br /> ' : LOT 000 BLOCK 000 <br /> PERMIT TYPE ' : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: 2 WC,3 LAV, 1 TUB, 1 SHOWER, 1 KITCHEN SINK, 1 DISPOSAL, 1 LAUNDRY TRAY <br /> VALUATION OF PLUMBING 4000 <br /> I <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUATION) 2.00 <br /> 7120 71ST AVE.N. MAIL-IN FEE 2.00 <br /> PO BOX 205 <br /> LORETTO,MN 55357- TOTAL 54.00 <br /> (612)750-0278 PAID WITH CC# 6915 <br /> OVWNER <br /> Citizens Independent Bank ' <br /> 5000 36TH ST W ' <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT AND WORN STATEMENT � <br /> The work for which this permit is is�gued shall be performed according to <br /> the approved plans and specificatior►s,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 ardinances goveming 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 Gonstruction 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. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />