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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: P04694 <br /> Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: 12/21/2001 <br /> SITE ADDRESS: 2600 West Lafayette Rd <br /> Excelsior,MN 55331 <br /> PID: 21-117-23-21-0002 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction Type VN <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: Plumbing Mechanical Electrical(state) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 492.25 Valuation: $ 35,000.00 <br /> Plan Review Fee: $ 319.98 <br /> State Surcharge Fee: $ 17.50 <br /> TOTAL FEE: $ 829.73 <br /> APPLICANT: Owner/Self OWNER: Phillip J. Smith <br /> MN 2600 West Lafayette Rd <br /> Excelsior,MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> X7y:,/e- <br /> APPLIC24PRM <br /> ITEE SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(Sienitures Reauired). 1-Applicant. 1-Monthly Reports. 1-Assessine. 1-Finance Page 1 <br />