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• � - CITY OF ORONO * Z pJ 1 3 - 0 0 5 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY — L(� L�� �.G3 <br /> PIN : 33-118-23-12-0051 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 121 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES- MULTIPLE <br /> NOTE: PLUMB[NG FIXTURES: (2)WATER CLOSETS,(3)LAVATOR[ES,(1)BATHTUF3,(I)SHOWGR,(1)KITCHEN SINK, <br /> (l)DISPOSAL,(1)DISHWASHGR <br /> VALUATION OF PLUMBING 4000 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE PLBG(VALUAT[ON) 2.00 <br /> 7120 71ST AVE.N. <br /> PO BOX 205 MAIL-IN FEE 2.00 <br /> LORETTO, MN 55357- TOTAL 54.00 <br /> (612)750-0278 PAID WITH CC# 6915 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perionned according to <br /> the approved plans and specitications,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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 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 tbr assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � � �� � � � �� �3 �� l�� ��� 13 <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />