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°' CITY OF ORONO <br /> . 2750 KELLEY PARKWAY * � � 1 6 - 0 1 2 9 9 * <br /> DATE ISSUED: 10/18/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 207 <br /> PIN : 33-118-23-12-0055 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATIOI�i : $ 72,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR FINISH <br /> APPLICANT PERMIT FEE SCHEDULE 889.28 <br /> PLAN REVIEW 578.03 <br /> GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 36.00 <br /> 5159 MAIN STREET E TOTAL 1,503.31 <br /> P.O.BOX 306 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 13254 1,503.31 <br /> Minnesota State License#:BUIL-20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 207 <br /> ST LOUIS PARK,MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 I SO 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 /> ��/�- <0-��}�B� /�0 T`�ti � la i 1 �i l <br /> pli nt Permitee Signature Date Issued Signature Date <br />