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r � <br /> CITY OF ORONO * Z 0 1 4 - 0 1 1 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3225 SIXTH AVE N <br /> PIN : 29-118-23-44-0001 <br /> LEGAL DESC : UNPLATTED 29 118 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 : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> PLAN REVIEW 76.70 <br /> PIRKL,ATHENA STATE SURCHARGE(VALUATION) 2.50 <br /> 3225 SIXTH AVE N TOTAL 197.20 <br /> LONG LAKE, MN 55356- <br /> Payment(s) <br /> CREDIT CARD 6762 197.20 <br /> OWNER <br /> PIRKL,ATHENA <br /> 3225 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 /> pertnits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 1 SO 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 cause. <br /> C dD / �D � J� �l <br /> Applicant Permitee Signat Dat Issu y Signature Date <br />