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CITY OF ORONO IIIHIIIIHIVIIUIF <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 009 1 P1 <br /> DATE ISSUED: 09/06/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 326-SCHOOLS AND OTHER EDUCATIONAL <br /> VALUATION : $ 643,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED FOR MECHANICAL,PLUMBING,ELECTRICAL(STATE) <br /> ADD MEZZANINE <br /> PAYMENT DROPPED OFF.9-6-17 PERMIT NOT PRINTED AND ISSUED-JOE WILL PICK PERMIT <br /> /045- 6Z C'r/syl,t-C -, 4e. dY <br /> APPLICANT PERMIT FEE SCHEDULE 4,380.67 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 2,847.44 <br /> 5159 MAIN STREET E STATE SURCHARGE(VALUATION) 321.50 <br /> P.O.BOX 306 S.A.C. 27,335.00 <br /> MAPLE PLAIN,MN 55359- TOTAL 34,884.61 <br /> (763)479-3117 Payment(s) <br /> Minnesota State License#:BUIL-20531961 CHECK 34,884.61 <br /> OWNER <br /> 278,ORONO SCHOOL DIST NO. <br /> 795 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 . formance wi the State Building Code.This permit may be <br /> revoke. . an tim for.u> - se. <br /> // / 0q 0//9 gt- ( 9/ & , /7 <br /> A t licant Permitee Si yA e Date Issued By S' ature Date <br />