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, <br /> CITY OF ORONO * z p� 1 3 — P1 1 0 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY ,� ZD�� <br /> PIN : 33-118-23-12-0050 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMIMUM <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 63,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> UNIT FINISH#202 <br /> APPLICANT PERMIT FEE SCHEDULE 779.25 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 506.51 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCHARGE(VALUATION) 31.50 <br /> MAPLE PLAIN,MN 55359- TOTAL 1,31726 <br /> (763)479-31 17 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which this permit is issued shall be perlormed 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 specitied 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 /> revo at any ti e fo u use. <br /> `°�� �`�19 L� � l �n l '�/ �'� �d l f C� l /� <br /> lica t P mitee Si �ture Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />