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� � �'' CITY OF ORONO <br /> * 2 0 1 2 — P1 0 1 2 4 * <br /> . 2750 KELLEY PARKWAY DATE lss[1ED: 02/22/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2670 KELLEY PKWY <br /> PIN : 33-118-23-12-0042 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 55,000.00 <br /> NOTE: SEPERATG PERMI"1'S REQUIRED: PLUMBING,MECHANICAL,FIREPLACF„ELECTRICAL(STATE) <br /> UNIT#1 12-INTER[OR FINISH <br /> APPLICANT PERMIT FEE SCHEDULE 719.25 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 467.51 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCHARGE(VALUATION) 27.50 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,214.26 <br /> (763)479-31 17 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 55416- <br /> AGREEMENT AIYD 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 Quilding Code. This pennit is for oi e work described and does <br /> not grant permission for additional o a d work which requires separate <br /> permits. All provisions of laws a or ' ances governing this type ofwork <br /> shall be compied with whethc,vor no pecified herein.This permi[will <br /> expire and become null a void i construction authorized is not <br /> commenced within I 80 ays of e date of issuance,or if construction is <br /> sus or a of 18 days at any time afrer work has commenced. <br /> e applicant is re o ib for ass ing all required inspections are <br /> requested in conf rman with the tate Building Code.7'his permit may be <br /> evoked at any me f ue cause <br /> i�Z � <br /> i �-- �, � ' Y�� i i <br /> Applicant i nature Date Issued By nature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />