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� • s <br /> CITY OF ORONO * z 0 1 3 - B 1 1 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U04/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3515 SIXTH AVE N <br /> PIN : 29-118-23-43-0002 <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-RESIDENTIAC, <br /> VALUATION : $ 40,000.00 <br /> NOTE: SF,PARA7'E PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> KITCHEN REMODF,L <br /> APPLICANT PERMIT FEE SCHEDULE 574.25 <br /> MITTELSTAEDT INC STATE SURCHARGE(VALUATION) 20.00 <br /> 11730 BRADDOCK AVE SE TOTAL 594.25 <br /> P O BOX 454 <br /> WATERTOWN, MN 55388- <br /> (612)716-9595 <br /> Minnesota State License#: 20012394 <br /> OWNER <br /> PETERSON, DALE& DIANE <br /> 3515 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> "l�he work for which this permi[is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <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 consVuction authorized is not <br /> commenced within 180 days oY the date of issuance,or if construction is <br /> suspended for a period of 180 days at a �me after work has commenced. <br /> The applicant i onsi e for assu all required inspections are <br /> reques � conform ce � aYe il � Code.This permit may be <br /> oked at any[im f <br /> j� <br /> '� � /L // / // <br /> Appl t P r tee Si'. a r ate Iss By Signature Date <br /> C <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />