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� CITY OF ORONO * Z 0 1 4 — 0 1 4 Z 2 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3399 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0021 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 250,000.00 <br /> NOTH;: SGPARAI'I: PI?RMI"I�S RI:QIiIRI�D: PI,UMBING, MECHANICAL.L:LFC"I'RICAL(S"I�A"I�{�;) <br /> APPLICANT PERMIT FEE SCHEDULE 1,956.75 <br /> STATE SURCHARGE(VALUAT[ON) 125.00 <br /> COMMAND BUILDING SERVICE TOTAL 2,081.75 <br /> 15405 N EDEN DRIVE <br /> EDEN PRAIRIE, MN 55346- Payment(s) <br /> (612)708-6085 CHECK 22706 �,081.75 <br /> Minnesota State License#: BUIL-BC636753 City of Or�.����� <br /> 21�G Kellcy Nai kwdy <br /> Orono MN `�53`�6 �5[ �24y-46UU <br /> OWNER Receipt No: 3.012500 Dec 22, 2014 <br /> V MCKINNEY, STEVE SOBIENIAK/ Commercial Building Service, Inc. <br /> 339 CRYS'rAL BAY RD Previous Balance: .00 <br /> WAYZATA, MN 55391- Fermits <br /> 2014-U1422 3399 Cryst�l 1,956.75 <br /> Bay Rd <br /> 101-3251G <br /> Building Permits <br /> AGREEMENT AND SWORN STATEMENT Fermits <br /> 2U14-01422 3399 Cr;st�l 125.00 <br /> The work for which this permit is issued shall be performed according to Bdy Rd <br /> the approved plans and specitications,applicable City approvals,and the 101-2G802 <br /> State Building Code. This permit is for only the work described and does D118 10 yOVtS—StBte <br /> _ _ <br /> not grant permission for additional or related work which requires separate J,081.75 <br /> permits. All provisions of laws and ordinances governing this type of work T�tal: _______________ <br /> shall be compied with whether or not specified herein.l�his permit will Check <br /> expire and become null and void if construction authorized is not ('h��k NU: 22706 z.�81•75 <br /> commenced within 180 days o��fli�e dat�'�a�issuance,or if construction is FeyOY: <br /> suspendedforaperiodof 180days�Y'�arSytimeafterworkhascommenced. COmmBYC121 E�ulldlfly SeIv1CO3 Inc. <br /> I he applicant is responsible for uring all required inspections are Total Appl ied: 2,081.75 <br /> requested in conformanee wit � tate[�uilding Code.This permit may be ---__ _-----u0 <br /> revoked at any time for due ay e� Ch�flye Te�id@I'Ed: <br /> �% ----=-------_ <br /> 12/22/2U14 U2:31PM <br /> {��'� '-" l./l.�Z � U��C..i /'� /' � � � zj �C� <br /> Appli ant Pcrrri�tee Signatui � Dale Issued 3y Signature Date <br />