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. CITY OF ORONO * 2 0 1 3 - 0 1 1 7 6 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3185 SIXTH AVE N <br /> PIN : 28-118-23-32-0006 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 53,900.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 711.75 <br /> STATE SURCHARGE(VALUATION) 26.95 <br /> MJS REPAIR AND REMODELING INC. TOTAL 738J0 <br /> 2327 LAFAYETTE RD <br /> WAYZATA, MN 55391- Payment(s) <br /> (952)270-5320 CHECK 1443 738.70 <br /> Minnesota State License#: BC626845 <br /> OWNER <br /> BRANTINGHAM,HENRY&NANCY <br /> 3185 SIXTH AVE N � <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sha(I 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 goveming 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due c se <br /> �z/z��� � /Zi /z-�l� <br /> A licant Pe ' e Signatur Date Iss By Signature Date <br />