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, 1 � <br /> CITY OF ORONO * z 0 1 4 - 0 PJ 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 : 2750 KELLEY PKWY <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : CITY OF ORONO ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPA[R <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 PGRM[TS REQUIRED: PLUMI3ING,MECHAN[CAL,ELECTRICAL(STAT�) <br /> ADDITION/Rf?MODEI. <br /> , �,_. �� �� � <br /> _��� l� � t r � 17�� �� � � {c'�- t �; ;� � �� ��: `I <br /> APPLICANT STATE SURCHARGE (VALUATION) 1,089.93 <br /> City of Orono TOTAL 1,089.93 <br /> ORONO, CITY OF Payment(s) <br /> CHECK XXXXX 1,089.93 <br /> 2750 KELLEY PARKWAY <br /> P.O. BOX 66 <br /> CRYSTAL E3AY, MN 55323- <br /> OWNER <br /> City 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���hich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. �I�his permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separate <br /> permits. AII 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 /> rhe applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> � / �/� <br /> Applicant Permiree Signature Date Issuc, y Signature Date <br />