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CITY OF ORONO <br /> * 2016 - 01232 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2017 <br /> ORONO, MN 55356- <br /> , <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2060 WAYZATA BLVD W <br /> PIN : 34-118-23-21-0037 <br /> LEGAL DESC : AMBER WOODS OFFICE CENTRE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 124,476.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> COMMERCIAL OFFICE BUILD-OUT <br /> APPLICANT PERMIT FEE SCHEDULE 1,267.42 <br /> PLAN REVIEW 20.47 <br /> CBS MN Properties STATE SURCHARGE(VALUATION) 62.24 <br /> P O BOX 575 <br /> LONG LAKE,MN 55356- TOTAL 1,350.13 <br /> Payment(s) <br /> CHECK 22900 1,350.13 <br /> OWNER <br /> CBS MN Properties <br /> PO BOX 575 <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 . d void if construction authorized is not <br /> commenced in 180 d.i s of the date of issuance,or if construction is <br /> suspend-: or a period of 180.i ys ata , time after work has commenced. <br /> The..plicant is respon .l ass,,, g all required inspections are <br /> quested in conform. c- ,ith - tate Building Code.This permit may be <br /> revoked at any time 's <br /> -Z( -/ l , ,„,/ l/, <br /> App'" Jr: ' tree Signature Date Issued ytl� Signature Date <br />