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� CITY OF ORONO � <br /> * 2 0 1 4 - 0 0 6 2 7 * <br /> , � 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2014 <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 : $ 80,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> REMODEL BARN-INTERIOR ONLY <br /> APPLICANT PERMIT FEE SCHEDULE 906.75 <br /> STATE SURCHARGE(VALUATION) 40.00 <br /> GORDON JAMES CONSTRUCTION TOTAL 946.75 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 Payment(s) <br /> MAPLE PLAIN, MN 55359- CHECK 11450 946.75 <br /> (763)479-3117 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> GULBRANDSON, DAN&ERICKA <br /> 1480 SIXTH 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 /> [he approved 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 additiona(or related work which requires sepazate <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 required inspections are <br /> requested in conformance with the St uilding Code.This permit may be <br /> revoked at any time for <br /> � �' 17� 1 � � <br /> Applic ermitee Signature Date Issued By nature � Date <br />