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CITY OF ORONO * z 0 1 z - 0 0 0 6 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012 <br /> . ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2180 NORTH SHORE DR <br /> PIN : 10-117-23-31-0098 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : INST[TUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 326-SCHOOLS AND OTHER EDUCATIONAL <br /> VALUATION : $ 15,743.00 <br /> NOTG: SEPARATE PERMITS REQUIRED: PLUM[3ING,ELECTRIC(STATE) <br /> IN"('GRIOR REMODEL-NEW PARTITION WALLS <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 280.25 <br /> FAITH BUILDERS PLAN REVIEW 182.16 <br /> 943 207TH LANE NE <br /> CEDAR, MN 55011- STATE SURCHARGE(VALUATION) 7.87 <br /> (612)518-2696 TOTAL 470.28 <br /> Minnesota State License#: BC638083 <br /> OWNER <br /> Creative Kids Academy Orono <br /> 2180 NORTH SHORE DR <br /> WAYZATA, MN 55391- <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 thc <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> permits. All provisions of laws and ordinances govcrning this type of work <br /> shall be compied with whether or not specificd 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 responsiblc for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be . � <br /> revoke at any time f due cause. �-�'�� <br /> � r <br /> � � � . � � � L`�`�"' t r'i;J .� —/ ? /--;L.. <br /> ��� / / <br /> Applican Perm� ee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />