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z CITY OF ORONO <br /> * 2014 - 00048 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS 685 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-21-0002 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 9,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> ACCESSORY STORAGE BUILDING <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> SCHOOLS,ORONO PUBLIC <br /> STATE SURCHARGE(VALUATION) 4.50 <br /> TOTAL 181.50 <br /> 765 OLD CRYSTAL BAY RD N Payment(s) <br /> LONG LAKE,MN 55356- CHECK 7783 181.50 <br /> OWNER <br /> SCHOOLS,ORONO PUBLIC <br /> 765 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <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 separate <br /> permits. All provisions of laws and ordinances governing 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 ipplicant is responsible for assuring all required inspections are <br /> req stcd in conforman with the State Building Code.This permit may be <br /> rev$ ed at any ' fo ue cause. <br /> 1 <br /> App icant Permitee Sigilure Date Is d By Signature Date <br />