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� CITY OF ORONO PERMIT NO.: 2009-00098 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 03/10/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2345 BLAINE AVE <br /> PIN : 17-117-23-34-0011 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 009 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : O/S BUILDING -LTNDEFINED <br /> VALUATION : $ 20,000.00 <br /> NOTE: OTHER PERMIT REQUIRED IS: ELECTRICAL(STATE PERMIT) <br /> , - r <br /> ����'i��-�'1C�� ���'1 �%�-�-��-'r �r C L�T�/��/�f'c��_: �tG�l <br /> U <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> VERIZON WIRELESS PLAN REVIEW 220.51 <br /> 9955 59TH AVE N <br /> PLYMOUTH, MN 55442 STATE SURCHARGE(VALUATION) 10.00 <br /> (763)595-5052 TOTAL 569.76 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE), CITY OF ORONO <br /> P.O. BLAINE AVE <br /> CRYSTAL BAY, MN 5532� <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permi[is for only the work described and does <br /> not grant permission for additiona)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 hecein.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 /> revoked�t"any time far du�.caus8l <br /> x . :;�;�-i�t- . ._���1�,�:.r- 3, i� ,cj 3i/� iD � <br /> AppYicant Permitee Sigq�fture Date Issu y Signature Date <br /> / <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />