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� ' CITY OF ORONO � <br /> * 2 0 1 2 - 0 1 0 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY <br /> PIN : 33-1 18-23-12-0058 ��j`v <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 /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 70,000.00 <br /> NOTE: SEPERA'1'E PERM[TS REQUIRED: PLUMBING,MECHANICAL,F[REPLACG, ELECTRICAL(STATE) <br /> UNIT#210 FIN[SH <br /> APPLICANT PERMIT FEE SCHEDULE 831.75 <br /> GORDON JAMES CONSTRUCT[ON PLAN REVIEW 540.64 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCHARGE(VALUATION) 35.00 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,407.39 <br /> (763)479-3117 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <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[3uilding 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 I SO 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 /> Thc applicant is responsible for assuring all required inspections are <br /> requeste in conformance with the State Building Code.This permit may be <br /> revo at any t� e fo d use. <br /> �Z/ l0 /ZOt Z Q!� /Z.-f /Ol / � <br /> pli nt Permitee Si ature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />