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� , CITY OF ORONO * 2 0 1 3 - 0 1 0 4 9 * <br /> 2750 KELLEY PARKWAY pAT� [SSUEu: 10/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY � Z/ 7 <br /> PIN : 33-118-23-12-0065 <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 : $ 63,000.00 <br /> NO'CE: SEPARATE PERM[TS REQUIRF,D: PLUMBING,MECFIANICAL,FIREPLACE,ELFCTRICAL(STATE) <br /> UNIT FIN[SH#217 <br /> APPLICANT PERMIT FEE SCHEDULE 77925 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 506.51 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCNARGE(VALUATION) 31.50 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,317.26 <br /> (763)479-3 l l 7 <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 tl�is permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. 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 /> request d in con ormance with the State Building Code.This permit may be <br /> revol�at an m or cause. <br /> 7 % a� <br /> ,` , �.� i � i �� _ � �� � � �y �, <br /> �plica t Per itee Si ature Date Issue By Signature Date <br /> , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />