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CITY OF ORONO PERMIT NO.: 2oiaoo�93 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADD�ESS : 2106 SUGARWOOD DR <br /> PIN : 34-118-23-21-0023 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 004 BLOCK 004 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$25,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: CONVERT SCREEN PORCH TO 3-SEASON PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00794 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> SUSSEL CORPORATION TOTAL 268.45 <br /> 654 TRANSFER ROAD <br /> 16B PAID WITH CC# 5455 <br /> ST.PAUL,MN 55114 <br /> (651)645-0331 <br /> Minnesota State License#: 1934 <br /> OWNER <br /> SCHOMMER,R&E <br /> 2106 SUGARWOOD DR <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 t 80 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 at any time for due cause. <br /> / / !l �/ 1L ` � <br /> ' Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />