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., CITY OF ORONO * 2 0 1 6 - 0 PJ 1 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/OU2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 212 <br /> PIN : 33-118-23-12-0060 <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 /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 72,000.00 <br /> NOTE: SEPARATE PERM[TS REQUIRGD: PLUMBING,ELECTRICAL(STATE) <br /> INTERIOR F[N[SH OF UN[T#212 <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 <br /> P.O. BOX 306 TOTAL 1,503.31 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 12819 1,503.31 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 212 <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 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 rype 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 atter 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 t any time f r due cause. " <br /> �3 '��1 '^� � D U � l ( l !l`-� <br /> lica t Per itee gnature Date Issued y ignature Date <br />