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• r <br /> CITY OF ORONO * 0 1 4 - 0 0 6 1 3 * <br /> 2750 KELLEY PARKWAY ATE ISSUED: 06/19/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 9�2)249-4616 <br /> ADDRESS : 2670 KELLEY PKWY 311 <br /> PIN : 33-118-23-12-0079 <br /> LEGAL DE C : STONEBAY OF ORONO CONDOMINNM <br /> : LOT 000 BLOCK 000 <br /> PERMIT T PE : ADDITION/REMODEL/REPAIR <br /> PROPERTY�TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTiVITY , tm crrrr�, T�ri v i,ni,c,-� ...,.... .,r,�,,, �3 y <br /> VALUATIO : $ 63,000.00 <br /> NOTE: SEPA�RATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(ST TE) <br /> APPLICANT PERMIT FEE SCHEDULE 779.25 <br /> PLAN REVIEW 506.51 <br /> GORDON JAiMES CONSTRUCTION STATE SURCHARGE(VALUATI N) 31.50 <br /> 5159 MAIN STREET E TOT L 1,317.26 <br /> P.O.BOX 30b Pa ment s <br /> MAPLE PLA�N, MN 55359- y � � <br /> (763)479-31 l�7 CHECK 11371 1,317.26 <br /> Minnesota St te License#: BUIL-20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W 311 <br /> ST LOUIS P RK,MN 55416- <br /> � <br /> AGRE�MENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pla�ns and specifications,applicable City approvals,and the <br /> State Building Clode. This permit is for only the work described and does <br /> not grant permis �on for additional or related work which requires separate <br /> permits. All pro isions of laws and ordinances goveming this type of work <br /> shall be compie with whether or not specified herein.This permit will <br /> expire and becorne 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 afrer wark 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 ti'pne for due cause. <br /> G?��� !-� � __ _�o l/�' l/1� <br /> pl' ant Pe itee �gnature Date Issu By Signature Date <br />