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i Cf ITY OF ORONO PERMIT NO.: 2oiaoo3ao <br /> . ' 2750� KELLEY PARKWAY <br /> �RONO,MN 55356- DATE IssuEn: OS/13/2010 <br /> 952 249 4600 FAX: 952 249-4616 <br /> PRINTED ON 6/3/2010 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVE NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMOIDEL/REPAIR <br /> _---_..�—� <br /> PROPERTY TYPE : COMMERCIAL-BU�INESS �-,,\ <br /> CONSTRUCTION TYPE ICE � <br /> ACTIVITY 437-NONRES.j1�FN�A�-��*FE}1k1HOUSEKEEPIN <br /> __.__._----- <br /> VALUATION : $ 15,000.00 <br /> NOTE: COMMERCIAL OFFICE REMODEL <br /> APPLICANT pERMIT FEE SCHEDULE 265.50 <br /> WATSON-FORSBERG CO PLAN REVIEW 172.58 <br /> 6465 WAYZATA BLVD <br /> ST LOUIS PARK,MN 55416- STATE SURCHARGE(VALUATION) 7.50 <br /> (952)544-7761 TOTAL 445.58 <br /> Minnesota State License#: 1986 <br /> OWNER <br /> FOUNDATION,FRESHWATER <br /> 2500 SHADYWOOD ROAD <br /> C/O DONALD BRAUER <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin to <br /> the approved plans and specifications,applicable City approvals,and e <br /> State Building Code. This permit is for only the work described and oes <br /> not grant permission for additional or related work which requires sep ate <br /> permits. All provisions of laws and ordinances goveming this type of ork <br /> shall be compied with whether or not specified herein.This permit wil <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 comme ced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit ay be <br /> revoked at any time for due cause. , <br /> / / II / / <br /> Applicant Permitee Signature Date I Issued By Signature Date <br /> SEPARATE PERMITS REQUI D FOR WORK OTHER THAN DESCRIBED ABOVE. <br />