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CITY OF ORONO II I III I II <br /> ', <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 1 2 1 <br /> DATE ISSUED: 1U16/22 017 <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 EDUC <br /> VALUATION : $ 1,200,000.00 <br /> NOTE: PERMIT IS FOR FOOTING AND FOUNDATION ONLY. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 7,094.92 <br /> STATE SURCHARGE(VALUATION) 580.00 <br /> KRAUS ANDERSON CONST CO. PLAN REVIEW STATE 1,773.73 <br /> 8625 RENDOVA ST <br /> CIRCLE PINES,MN 55014 TOTAL 9,448.65 <br /> (952)249-9679 Payment(s) <br /> CHECK 201256 9,448.65 <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 conformance with the State Building Code.This permit may be <br /> yoked at any time for due cause. <br /> 4-eld'ar"• 1//s —17 -� // / / / �7 <br /> pp icant Pe a Signature Date Issued By f attire Date <br />