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CITY OF ORONO � 0 1 4 - 0 0 8 8 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS . 50 KELLEY PKWY —� <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : CITY OF ORONO ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 324-OFFICES, BANKS&PROFESSINAL <br /> VALUATION : $ 2,633,106.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> FOR POLICE DEPARTMENT ADDITION/REMODEL AT 2730 KELLEY PARKWAY. <br /> --�� <br /> SAC DETERMINATION MADE BY METROPOLITAN COUNCIL WITH LE"i'TER DATED 9/1 U14. <br /> APPLICANT STATE SURCHARGE(VALUATION) 1,089.93 <br /> � S.A.C. 4,970.00 <br /> City of Orono ��a` <br /> TOTAL 6,059.93 <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY Payment(s) <br /> P.O.BOX 66 CHECK XXXXX 1,089.93 <br /> CRYSTAL BAY, MN 55323- CHECK 9999 4,970.00 <br /> OWNER <br /> Ciry of Orono <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY <br /> P.O. BOX 66 <br /> CRYSTAL BAY, MN 55323- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> requested in conformance with the State Building Code.This permit may be �a'� <br /> revoked at any time for due cause. � <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />