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� . CITY OF ORONO * z 0 1 3 - PJ 0 9 B 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2840 NORTH SHORE DR <br /> PIN : 09-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : OTHER <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 75,000.00 <br /> NOTE: SCHEDULE AN INSPECTION WHEN WORK BEGINS AND OTHER INSPECTIONS WILL BE DETERMINED FROM THERE ON. <br /> APPLICANT pERMIT FEE SCHEDULE 869.25 <br /> EBERT CONSTRCUTION STATE SURCHARGE(VALUATION) 37.50 <br /> 23350 CO.RD#10 <br /> LORETTO,MN 55357 TOTAL 906.75 <br /> (763)226-5320 <br /> OWNER <br /> Three Rivers Park District <br /> 3000 XENIUM LA N <br /> PLYMOUTH,MN 55441- <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 does <br /> not grant permission for additional or related work which requires sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> w,�f��/%�.� 7 �z� � [3 , � , <br /> Applicant Perrr��tee Signature Date ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />