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. � - � CITY OF ORONO * Z 0 1 Z — 0 0 5 3 6 * <br /> 2750 KELLEY PARKWAY �ATE �SSU��: 06/22/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY #/p 3 <br /> PIN : 33-118-23-12-0033 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 65,000.00 <br /> NOTG: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACG, ELECTRICAL(STATE) <br /> UN[T FINISH#103 <br /> APPLICANT PERMIT FEE SCHEDULE 794.25 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 516.26 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCHARGE(VALUAT[ON) 32.50 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,343.01 <br /> (763)479-31 17 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH STREET W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�to <br /> the approved plans and specifications,applicable Ciry 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[ype of work <br /> shall be compied with whether or not specitied 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 bc <br /> revoked at any time for e cause. <br /> n /� � / 2 Z / �� 2 6 /a�-//�--- <br /> pli nt Permitee Si ature Date Issued Signature Date <br />; SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />