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# „ CITY OF ORONO * z 0 1 7 - 0 1 0 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2017 <br /> ORONO, MN 55356- <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 /> PERM[T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 30,000.00 <br /> NOTE: INTERIOR REMODEL SUITE#400 <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> Ugorets 8098 LLC PLAN REVIEW 318.58 <br /> 410 11TH AVE S STATE SURCHARGE(VALUATION) 15.00 <br /> HOPKINS,MN 55343- TOTAL 823.70 <br /> (952)769-7249 Payment(s) <br /> CHECK 1701 823.70 <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 permi[is issued shall be performed according to <br /> Ihe approved plans and specifications,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 /> permits. All provisions of laws and ordinances governing 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 /> revoke�/�t any time f9r du�cause. /'' <br /> ! �, rf / . <br /> ��a. / / ' (. � 7/� j�� '/�`� l (� � �� y� ���� � � � <br /> /i �r <br /> A�p cant Pern�itee$ignature Date ,�' Issued B gnature Date <br />