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� �, ' CITY OF ORONO <br /> 2750 KE�,LEY PARKWAY * Z 0 1 7 - 0 0 3 5 3 * <br /> DATE ISSUED: 04/17/2017 <br /> ORO O,MN 55356- <br /> (952)249-460 FAX: (952) 249-4616 <br /> - <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NQ. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/IREPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSIN�SS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 10,000.00 <br /> NOTE: ADDITIONAL PERMIT REQUIRED:ELECTRICAT,(STATE) <br /> [NTERIOR REMODEL OF DOOR <br /> NO SAC DUE,PART OF CONTINUED REMODEL AND SAC DETERMINATION FROM MET COUNCIL LETTER DATED 10/13/16 <br /> APPLICANT PERMIT FEE SCHEDULE 20132 <br /> PLAN REVIEW 130.86 <br /> Ugorets 8098 LLC STATE SURCHARGE(VALUATION) 5.00 <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- TOTAL 337.18 <br /> (952)769-7249 Payment(s) <br /> CHECK 1604 337.18 <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 pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City 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 construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 i <br /> revoked at any time for due cause. <br /> � �11� o "�1 O � i�� l� 7 / �� <br /> ����- /a � <br /> Applicant Permitee Signature Date Issued B ignature Date <br />