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` ' CITY OF ORONO * z 0 1 3 - 0 0 1 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2905 SIXTH AVE N <br /> PIN : 28-118-23-31-0006 <br /> LEGAL DESC : GARDEN GROVE <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIViTY : 434-RESIDENTIAL <br /> VALUATION : $ 42,000.00 <br /> NOTE: SEPERA'I'E PERMITS REQUIRED: PLUMBING,MECHANICAL,ELEC"1'RICAL(STATE) <br /> ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 595.75 <br /> ELLINGSON,JORGEN & YUMIKO STATE SURCHARGE(VALUATION) 21.00 <br /> 2905 SIXTH AVE N <br /> LONG LAKE, MN 55356- TOTAL 616.75 <br /> OWNER <br /> ELLINGSON,JORGEN &YUMIKO <br /> 2905 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,app(icable 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 perio f I 80 days at any time after work has commenced. <br /> The applicant is po sible for assuring all required inspections are <br /> requested in nfo ance with the State Building Code.This permit may be <br /> revoked an e f'or cause. <br /> � i � vi / � �U�'U'1�-�-- �i /� �� <br /> A � tcant Permitee ' ature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />