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� , <br /> CITY OF ORONO PERMIT NO.: 2oos-oo443 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/i U2008 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4360 SIXTH AVE N <br /> PIN : 31-118-23-12-0011 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> APPLICANT pERMIT FEE SCHEDULE 41.25 <br /> R&B CARPENTRY PLAN REVIEW 26.81 <br /> 5079 MAIN ST.E. STATE SURCHARGE VALUATION 0.50 <br /> MAPLE PLAIN,MN 55359- � � <br /> (952)68&3665 TOTAL 68.56 <br /> Minnesota State License#:20454577 <br /> OWNER <br /> HIBBS,WILLIAM <br /> 4360 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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a any tim�ue cause. <br /> �,c�/z'�%r,ew1 -�r �a ,/r o i�, ,0 8' <br /> pplicant Permitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />