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RNIUM <br /> CITY OF ORONO Is E* 2012 - 00416 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 <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 : BUILDING UNIDENTIFIED <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 5,000.00 <br /> NOTE: NEEDS PREMIT FOR:ELECTRIAL(STATE) <br /> OPEN PAVILLION <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> SCHOOLS,ORONO PUBLIC STATE SURCHARGE(VALUATION) 2.50 <br /> 765 OLD CRYSTAL BAY RD N TOTAL 120.50 <br /> LONG LAKE,MN 55356- <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 /> commen ed within 180 days of the date of issuance,or if construction is <br /> suspend d for a period of 80 days at any time after work has commenced. <br /> The app cant is responsi a for wring all required inspections are <br /> request in conformance it t State Building Code.This permit may be <br /> revoke t any t o for d c s <br /> Applfca it Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />