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•• CITY OF ORONO * 2 0 1 4 0 fd 6 1 4 * <br /> ' ' 2750 KELLEY PARKWAY DATE ISS En: 06/19/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 218 <br /> PIN : 33-118-23-12-0066 <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 i : 1 , �� ��+�'T'�-� <br /> VALUATION ' : $ 52,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> A1�PLICANT PERMIT FEE SCHEDULE 696.75 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89 <br /> 5159 MAIN STREET E STATE SURCHARGE(VALUATION) 26.00 <br /> P.O.BOX 306 TOTAL 1,175.64 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 11371 1,175.64 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 218 <br /> ST LOUIS PARK,MN 55, 16- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specific tions,applicable Ciry approvals,and the <br /> State Building Code. 'I'his pe�t is for only the work described and dces <br /> not grant permission for additio al or related work which requires separate <br /> permits. All provisions of laws 8nd ordinances governing this type of work <br /> shall be compied with whether o�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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,'� f,����%`� C��l�-ZdIY � �/� ,� <br /> , pp' ant Permitee Signature Date Issu By Signature D te <br />