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'� ' CITY OF ORONO * 2 0 1 8 - 0 0 2 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2018 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2160 SIXTH AVE N <br /> PIN : 27-118-23-31-0017 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTMTY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> (3)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> TYLER,WILLIAM PLAN REVIEW 80.52 <br /> 2160 SIXTH AVE N STATE SURCHARGE(VALUATION) 2.50 <br /> LONG LAKE,MN 55356- TOTAL 206.89 <br /> Payment(s) <br /> CASH 2O6.89 <br /> OWNER <br /> TYLER,WILLIAM <br /> 2160 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORI�i 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null and void if consWction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ����_.-- __._--�-----�--� p 3 oa �01 g � � � � <br /> Ap cant Permitee Signature ate Issue y Signature Date <br />