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T , <br /> CITYOFORONO * 20 13 — PJ0532 * <br /> � 2750 KELLEY PARKWAY DATE rsSUE�: 06/24/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 � <br /> ADDRESS : 2670 KELLEY PKWY $Z` 203 <br /> PIN : 33-118-23-12-0051 <br /> LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM <br /> : LOT 121 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 62,600.00 <br /> NOTF,: SEPARATF,PERMI"I'S REQUIRED: PLUMBING,MECHANICAL,F[REPLACE,ELECTR[CAL(STATE) <br /> LTNIT#203 INTERIOR FINISH <br /> APPLICANT PERMIT FEE SCI-IEDULE 779.25 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 506.51 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 STATE SURCHARGE(VALUATION) 31.30 <br /> MAPLE PLAIN, MN 55359- TOTAL 1,317.06 <br /> (763)479-31 l 7 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> Citizens Independent Bank <br /> 5000 36TH ST W <br /> ST LOUIS PARK, MN 554]6- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'he work for which this permit is issucd shall bc performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Quilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. 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 davs of the date oY issuance,or if construction is <br /> suspended fbr a period of 1 AO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste in confor ance with the S[ate Building Code.This permit may be ���'/ / ����� <br /> revok t any ti for e c e. �, <br /> i tr-'1 ~l 2�S/ 7�/ (�')/j^ (�t� l l � <br /> l�car� Permitee Signat Date Issued Qy S gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />