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; ' CITY OF ORONO * z 0 1 3 - 0 0 1 0 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4320 SIXTH AVE N <br /> PIN : 31-118-23-12-0009 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 83,600.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> ADDITION AND DECK <br /> APPLICANT pERMIT FEE SCHEDULE 936.75 <br /> ROELOFS REMODELING PLAN REVIEW 608.89 <br /> 4917 BEACON HILL ROAD STATE SURCHARGE(VALUATION) 41.80 <br /> MINNETONKA,MN 55345- <br /> (952)512-0110 TOTAL 1,587.44 <br /> Minnesota State License#: 1095 <br /> OWNER <br /> COLEMAN,JOHN&CAROL <br /> 4320 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 /> permits. 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 cau . <br /> �� �i � i �3 � �i i �� <br /> Applicant ermi ee Sig ure Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />