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� � CITY OF ORONO <br /> * 2 0 1 3 - 0 0 3 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1480 SIXTH AVE N <br /> PIN : 26-118-23-32-0008 <br /> LEGAL DESC : DOUGLAS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 30,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> BONUS ROOM ABOVE GARAGE REMODEL <br /> APPLICANT pERMIT FEE SCHEDULE 466.75 <br /> PRAIRIE HOME REMODELING LLC STATE SURCHARGE(VALUATION) 15.00 <br /> 9830 BALMORAL LN. TOTAL 481.75 <br /> EDEN PRAIRIE, MN 55347- <br /> (952)941-8291 <br /> Minnesota State License#: BC521184 <br /> OWNER <br /> GULBRANDSON, DAN& ERICKA <br /> 1480 SIXTN AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved p(ans 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 Yor 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> re uested in conformance with the State Building Code.This permit may be <br /> ev t any ime o e cause. <br /> � � <br /> � ��� � � " � ;�L ���� �i i / <br /> � ant Pe rt� ature Date I �� d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />