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. CITY OF ORONO * z 0 1 4 - 0 1 3 9 7 * <br /> f 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/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 : $ 25,000.00 <br /> NOTE: INTERIOR REMODEL <br /> SEPARA"TE� PERMITS REQUfRED: PLUM[31NG. MECFIANICAI.. FIRI�.PLACI��:, I;I.I;CI�RICAL (S"I�ATf:) <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> PLAN REVIEW 268.45 <br /> WOODCRAFT DESIGN BUILD, INC. STATE SURCHARGE(VALUATION) 12.50 <br /> 414 LEWIS AVE#102 <br /> WATERTOWN, MN 55388- TOTAL 693.95 <br /> (612)290-0895 Payment(s) <br /> Minnesota State License#: BUIL-629265 CREDIT CARD 8749 693.95 <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 /> the approved plans and specifications.applicable City appmvals,and the <br /> State[3uilding Code. This permit is for only the��rork described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of la��s and ordinances governing this type of�vork <br /> shall be compied with whether or not specitied herein.This permit�vill <br /> expire and become null and void if construction authorized is not <br /> conunenced within 180 davs ofthe date of issuance,or ifconstruction is <br /> suspended for a period of I AO da��s at Tm�time alter work has commenced_ <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Quilding Code.�l�his permit may be <br /> revoked at anv time for due cause. <br /> � '��' � � <br /> ���`�.,�..c �.E,-�-��-c.�y , � , � � � y� <br /> Applicant Permitee Signature Date Issued B. Signature Date <br />