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� � C�TY OF ORONO * 2 0 1 7 - a 0 7 5 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2017 <br /> ORONO,MN 55356- <br /> (952) 249-#600 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD I�iD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMOD�EL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) <br /> LJNIT#150 BUILDOUT <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> STATE SURCHARGE(VALUATION) 2.50 <br /> Ugorets 8098 LLC TOTAL 126.37 <br /> 410 11TH AVE S Payment(s) <br /> HOPKINS,MN 55343- CHECK 1694 12637 <br /> (952)769-7249 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT AND SWORN STATEMEN <br /> The work for which this permit is issued shall be performed accordFng to <br /> the approved plans and specifications,applicable City approvals,a►►d the <br /> State Building Code. This permit is for only the work described a�d does <br /> not grant permission for additional or related work which requires Separate <br /> permits. All provisions of laws and ordinances governing this typel 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 construc ion is <br /> suspended for a period of ISO days at any time after work has co enced. <br /> The applicant is responsible for assuring all required inspections e <br /> requested in conformance with the State Building Code.This pe it may be <br /> revoked at an time for due cause. .. <br /> � 7��/1 �� 7 � � � /,Z <br /> Applicant Permitee Si ature Date Issued By gnature Date <br />