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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliililign <br /> 4 CITY OF ORONO * 2012 - 00415 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/17/2012 <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 ADVANCED PLAN REVIEW <br /> PROPERTY TYPE INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 5,000.00 <br /> NOTE: ADVANCED PLAN REVIEW FEE <br /> BUILDING PERMIT FOR OPEN PAVILLION-PERMIT#2012-00416 <br /> VALUATION-$5,000 <br /> OVERPAYMENT OF$3.30 WAS PAID WITH CHECK#7713-NEEDS TO BE APPLIED TO THE BUILDING PERMIT FEE. <br /> APPLICANT ADVANCED PLAN REVIEW 76.70 <br /> SCHOOLS,ORONO PUBLIC TOTAL 76.70 <br /> 765 OLD CRYSTAL BAY RD N <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 /> 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 <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />