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�, , CIfiY OF ORONO * z 0 1 6 - 0 1 z 9 1 * <br /> � 2750 I�ELLEY PARKWAY DATE ISSUED: 11/02/2016 <br /> OItONO,MN 55356- <br /> (952)249-4 00 FAX: (952)249-4616 <br /> ADDRESS : 2500 SHADYWOOD <br /> PIN : 20-117-23-11-0034 I <br /> LEGAL DESC : REG.LAND SURVEY 1�10. 1630 <br /> : LOT 000 BLOCK OQO <br /> PERMIT TYPE : ADDITION/REMODE�,/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSIIVESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/R�PAIR <br /> ACTNITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 20,000.00 , <br /> NOTE: SEPARATE PERMIT REQUIRED: PLUMBING,MEC$IANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL � <br /> SAC PAID 10/13/2016-SEE SAC LETTER ATTACHED <br /> APPLICANT PERMIT FEE SCHEDULE 356.22 <br /> Ugorets 8098 LLC ' STATE SURCHARGE(VALUATION) 10.00 <br /> 410 11TH AVE S i TOTAL 366.22 <br /> HOPKINS,MN 55343- Payment(s) <br /> (952)769-7249 CHECK 1523 366.22 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to ' <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. 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 wnstruction 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 /> "fhe applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may <br /> revoked at any time for due cause. � <br /> r � 11 I� � � � i l� �G� <br /> Applicant Permitee Signature Date Issued By ignature Date <br />