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� .� <br /> CITY OF ORONO * 2 0 1 5 - 0 0 9 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2015 <br /> ORONO, MN 55356- <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 : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 12,500.00 <br /> NOTE: ANTENNA REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 247.83 <br /> STATE SURCHARGE(VALUATION) 6.25 <br /> VELOCITEL ON BEHALF OF AT&T TOTAL 254.08 <br /> 1710 AMERICAN BLVD E# <br /> BLOOMINGTON,MN 55425- Payment(s) <br /> CREDIT CARD 6445 254.08 <br /> (248)709-2229 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE), CITY OF ORONO <br /> 2345 BLAINE AVE <br /> PO BOX 66 <br /> CRYSTAL BAY,MN 55323- <br /> AGREEMEIVT 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 /> S[ate 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 goveming 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 <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />