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� <br /> , CITY OF ORONO PERMIT NO.: 2010-00181 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE�SSUEn: 03/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2477 SHADYWOOD RD <br /> PIN : 20-117-23-11-0027 <br /> LEGAL DESC : REG. LAND SURVEY NO.0088 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 500,000.00 <br /> NOTE: ADVANCED PLAN REVIEW FOR PERMIT#2010-00182-ADDTION/REMODEL PERMIT <br /> APPLICANT ADVANCED PLAN REVIEW 2,246.89 <br /> PROFORM THERMAL SYSTEMS,INC. TOTAL 2,246.89 <br /> 10401 JAMESTOWN STREET <br /> BLAINE,MN 55449- <br /> OWNER <br /> SVOBODA),BAYWIND CHRISTIAN CHURCH(MR. <br /> 2477 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 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 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 /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />