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' , CITY OF ORONO * Z 0 1 2 — 0 fd 3 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 <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 : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 86,300.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> IiOMF,ADDITION AND GARAGE RELOCATION <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 959.25 <br /> ELLINGSON,JORGEN STATE SURCHARGE(VALUATION) 43.15 <br /> 2905 SIXTH AVE N <br /> LONG LAKE, MN 55356- TOTAL 1,002.40 <br /> OWIVER <br /> ELLINGSON,JORGEN&YUM[KO <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 ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he 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 afrer work has commenced. <br /> The applicant is responsible for assuring ail required inspec[ions are <br /> requested in co ance�ith Ihe State Building Code.This permit may be <br /> revoked at a y tinle� ' <br /> — _ � <br /> _ ' 1 <br /> � 1��--- ._ � � � .� V�Z� �l /a-f-- ,a_-__ <br /> �p�Nc � ermitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />