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� � , CITY OF ORONO * 2 0 1 5 - 0 1 2 9 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1UO2/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2377 SHADYWOOD RD <br /> PIN : 17-117-23-44-0009 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATIOI�T : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> 1NTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 278.81 <br /> PLAN REVIEW 181.23 <br /> HOANG, LONG STATE SURCHARGE(VALUATION) 7.50 <br /> 2140 BUCKINGHAM LA <br /> ST.PAUL, MN 55112- TOTAL 467.54 <br /> (763)232-2591 Payment(s) <br /> CREDIT CARD 8697 467.54 <br /> OWNER <br /> JOHNCOX,PAUL <br /> 2849 CASCO POINT RD <br /> WAYZATA,MN 55391- <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 onty 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 i <br /> revoked at any time for due cause. 1�7 <br /> f�--- �� i� �•�:� �(.; � � � �z� � �� <br /> Applicant Permitee Signature te Issued By Signature Date <br />