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` '�y T� � CITY OF ORONO * z 0 1 z 0 0 1 9 7 * <br /> c I 2750 KELLEY PARKWAY <br /> DATE ISS D: 03/20/2012 <br /> ORONO,MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY �.3G� <br /> PIN : 33-118-23-12-0077 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION T'YPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 70,000.00 <br /> NOTE: SEPERATE P�RMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR FINISH-UNIT#309 <br /> APPLICANT pERMIT FEE SCHEDULE 831.75 <br /> GORDON JAM S CONSTRUCTION PLAN REVIEW 540.64 <br /> 5159 MAIN ST�EET E <br /> P.O.BOX 306 ! STATE SURCHARGE(VALUATION 35.00 <br /> MAPLE PLAII�,MN 55359- TOTAL 1,407.39 <br /> (763)479-3117 i <br /> Minnesota Stat�License#:20531961 <br /> OWNER <br /> Citizens Indep�ndent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PA'RK,MN 55416- <br /> AGRE�MENT AND SWORN STATEMENT <br /> The work for w�ich this permit is issued shall be performed according to <br /> the approved pl�ns and specifications,applicable City approvals,and the <br /> State Building�ode. This permit is for only the work described and does <br /> not grant perm�ssion for additional or related work which requires separate <br /> permits. All p�ovisions of laws and ordinances governing this type of work <br /> shall be compi�d with whether or not specified herein.This permit will <br /> expire and be�ome null and void if construction authorized is not <br /> commenced�ithin 180 days of the date of issuance,or if construction is <br /> suspended fo�a period of 180 days at any time after work has commenced. <br /> The applican�is responsible for assuring all required inspections aze <br /> requested in�onformance with the State Building Code.This permit may be <br /> revoked at ar�y time or due cause. <br /> 1� <br /> �r�- �-- 3���� � 2or� � � <br /> Applicant ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ED ABOVE. <br />