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CITY OF ORONO 111111111II11111 * <br /> 2750 KELLEY PARKWAY DATE t�, 05/07/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 2,010,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING,MECHANICAL&ELECTRICAL <br /> NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 10,496.59 <br /> STATE SURCHARGE(VALUATION) 903.00 <br /> BAUER DESIGN BUILD S.A.C. 17,395.00 <br /> 751 7TH STS <br /> #100 TOTAL 28,794.59 <br /> DELANO,MN 55328- Payment(s) <br /> (763)972-0000 CHECK 006844 28,794.59 <br /> OWNER <br /> Jem Technical <br /> 450 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 181 days at any time after work has commenced. <br /> The applicant is res•.n e for assuring all required inspections are <br /> requested in S.. ce with the State Building Code.This permit may be <br /> revoked. . nr'e for due caus <br /> CkLICW) / / lc) <br /> m. mcari'rmitee Sign Da Issued By Signature Date <br />