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� � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 4 - 0 0 B 3 S * <br /> DATE ISSUED: 08/06/2014 <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 : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,SEPTIC CONNECTION,WATER CONNECTION,SEWER <br /> CONNECTION,ELECTRICAL(STATE) <br /> REBUILD BARN IN-KIND ON EXISTING FOUNDATION. <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> GORDON JAMES CONSTRUCTION PLAN REVIEW 172.58 <br /> 5159 MAIN STREET E STATE SURCHARGE(VALUATION) 7.50 <br /> P.O.BOX 306 TOTAL 445.58 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 11467 445.58 <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 /> the 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 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 aze <br /> requested in confo with t tate Building Code.This permit may be <br /> revoked at any � e e. <br /> �(Y /�� �— � / lC/ /�� <br /> Ap icant Permitee Signature Date Issue y Signature Date <br />