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� CITY OF ORONO <br /> • � * Z 0 1 3 — 0 0 1 4 6 * <br /> 2750 KELLEY PARKWAY pATE [ssuEn: 03/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY ��D� <br /> PIN : 33-118-23-12-0031 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 52,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STA"I'E) <br /> TENANT INTERIOR FINISH — I � ( <br /> APPLICANT PERMIT FEE SCHEDULE 696.75 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 452.89 <br /> 5159 MAIN STREET E STATE SURCHARGE(VALUATION) 26.00 <br /> P.O. BOX 306 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,175.64 <br /> (763)479-3117 <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 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[his 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 construc[ion is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revok at any t e fo u se. <br /> ..3 � ,S% l 3 3 � �5 � <br /> pli � t Permitee Signatu Date Issue By Signature Date <br /> EPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />