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� � CITY OF ORONO PERMIT NO.: 2010-00340 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: OS/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERC[AL-BUSINESS <br /> CONSTRUCTION TYPE : OFFICE <br /> ACTIVITY : 324-OFFICES, BANKS&PROFESSINAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: COMMERCIAL OPPICE RF;MOD�L <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> WATSON-FORSBERG CO PLAN REVIEW ��2.Sg <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 /> OWIVER <br /> FOUNDATION, FRESHWATER <br /> 2500 SHADYWOOD ROAD <br /> GO DONALD BRAUER <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> I he work for which this pennit is issued shall be performed 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 related work which requires separate <br /> pennits. All provisions of laws and ordinances 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 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 for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revol�gd at any um or e se. <br /> L; � �^ <br /> 'G}�y� 'v�t� � l � � �-�G/C' ai�J �J l /�l `� <br /> Applicant Permitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />