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CITY OF OAK PARK HEIGHTS PERMIT NO.: 2012 -00110
14168 OAK PARK BLVD. N. #2007
OAK PARK HEIGHTS, MN 55082 -2007 DATE ISSUED: 06/27/2012
(651) 351 -1661 FAX: (651) 439 -0574
kDDRESS : 14375 60TH ST N
PIN : 04- 029 -20 -21 -0007
LEGAL DESC : N/A
: LOT 0 BLOCK 0
PERMIT TYPE : PLUMBING
PROPERTY TYPE : COMMERCIAL
CONSTRUCTION TYPE : REMODEL
VALUATION : $ 1,100.00
NOTE: PERMIT ISSUED FOR ADDITION OF HAND SINK TO GOOD TIMES TATTOO CO. TENANT SPACE REMODEL. WORK SHALL
COMPLY WITH ALL MN STATE BUILDING AND PLUMBING CODE REQUIREMENTS.
VALUE OF PLUMBING 1100
— APPLICANT PLUMBING- COMMERCIAL 75.00
PLUMBING STATE SURCHARGE 0.55
HOLST PLUMBING COMMERCIAL
10679 PT PLEASANT RD LICENSE VERIFICATION 5.00 '
CHISAGO CITY, MN 55013- TOTAL 80.55
(651) 439 -1101
Minnesota State License #: PM059183 PAID WITH CHECK # 9086
OWNER
ISAACSON CHILDREN'S PROPERTY
8017 N 50TH ST
LAKE ELMO, MN 55042 -
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed
according to: (1) the conditions of this permit; (2) the
approval plans and specifications; (3) the applicable city
approvals, Ordinances, and Codes; and, (4) the State Building
Code. This permit is for only the work described, and does
not grant permission for additional or related work which
requires separate permits. This permit will expire and become
null and void if work is not started within 180 days, or if work
,semis suspended or abandoned for a period of 180 days any time
`after work has commenced. The applicant is responsible for
assuring all required inspections are requested in conformance
with the Minnesota State Building Code.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.