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CITY OF ORONO PERMIT NO.: 2008-00442 <br /> e� " 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/15/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2420 DUNWOODY AVE <br /> PIIY : 20-117-23-21-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENT[AL&NONHOUSEKEEPIN <br /> VALUATION : $ 4,000.00 <br /> NOTG: ADDITIONAI.PERMI"I�S REQUIRED: EI,ECTRICAL PERMIT(STATE) <br /> EXPANSION OF PLA'I'FORM <br /> APPLICAIVT PERMIT FEE SCHEDULE 103.25 <br /> THE CARPENTER'S CONTRACTING, INC. PLAN REVIEW 67.1 1 <br /> 1085 COUNTY ROAD 19 <br /> MOUND, MN 55364 STATE SURCHARGE(VALUATION) 2.00 <br /> (952)472-5715 TOTAL 172.36 <br /> Minnesota State License#: 3622 <br /> OWIVER <br /> CHURCH, CALVARY MEMORIAL <br /> 2420 DUNWOODY AVE <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed accordii�g to <br /> the approvcd 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 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 I 80 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State Building Code."Chis permit may bc <br /> rev.n�ed at any time for due cause. <br /> r� SC.�;,� . ,`a��.����.; t Z / 1� / / / <br /> Applicant Permilee Signature' Date ]ssued By i nature �- Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />