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� L <br /> CITY OF ORONO PERM[T NO.: 2010-00005 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2103 SUGARWOOD DR <br /> PIN : 34-118-23-21-0018 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 004 BLOCK 003 <br /> PERM[T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 138,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(S'fA7�E) <br /> ADVANCED PLAN REVIEW P�RMIT 2010-00004-PAID$835.09-CHFCK#34713 <br /> APPWCANT PERMIT FEE SCHEDULE 1,284.75 <br /> STE[NER& KOPPELMAN STATE SURCHARGE(VALUATION) 69.00 <br /> 18340 MINNETONKA BLVD TOTAL 1,353.75 <br /> DEEPHAVEN, MN 55391- <br /> (612)473-5435 <br /> Minnesota State License#: 3'721 <br /> OWNER <br /> WINKEY, TRAVIS& LISA <br /> 2103 SUGARWOOD DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding 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 governing this type of work <br /> shall be compied with whether or not specitied 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 atter 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 /> r ed at any ime for due cause. <br /> � �.N4J��.� � / l Z / l O /� / � 02 0/c� <br /> Applicant Permitee Signature Date ]ss d By Signature Date <br /> SEP RATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />