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CITY OF ORONO I*1 111120 11111111-111113 <br /> 1 lI-1 I�I 1��11 2115111�I II <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2160 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0002 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 20,000.00 <br /> NOTE: INTERIOR REMODEL ONLY TO FIX WATER DAMAGE AND MOLD ISSUE. NO ADDITIONAL SAC UNITS DUE AT THIS TIME, <br /> PER LETTER FROM MET COUNCIL DATED 10/07/15. <br /> APPLICANT PERMIT FEE SCHEDULE 356.26 <br /> PLAN REVIEW 231.57 <br /> Orono Station West STATE SURCHARGE(VALUATION) 10.00 <br /> ERICKSON,BRAD&CHRISTY TOTAL 597.83 <br /> 2486 BOBOLINK RD Payment(s) <br /> LONG LAKE,MN 55356- CHECK 5087 597.83 <br /> (612)490-2371 <br /> OWNER <br /> Orono Station West <br /> ERICKSON,BRAD&CHRISTY <br /> 2486 BOBOLINK RD <br /> LONG LAKE,MN 55356- <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 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 /> revoked at any time for due cause. <br /> -/' ;01q , ,� 0 . P ' - L / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />