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CITY OF ORONO PERMIT NO.: 20��-00302 <br /> ` � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 395 SUSSEX LA <br /> PIN : 04-117-23-24-0007 <br /> LEGAL DESC : FOX BEND <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : OUTDOOR FIREPLACE <br /> VALUATION : $ 44,000.00 <br /> NOTE: ADV.PLAN REVIEW FEE 20 1 1-003 0 1 <br /> OUTDOOR KITCHEN <br /> i <br /> ; APPLICANT pERMIT FEE SCHEDULE 617.25 <br /> ; MANTIS DESIGN&BUILD <br /> � STATE SURCHARGE(VALUATION) 22.00 <br /> � 465 NEWTON AVE S <br /> i MINNEAPOLIS,MN 5540� TOTAL 639.25 <br /> � (612)377-0123 PAID WITH CC# 1537 <br /> Minnesota State License#:20470400 <br /> OWNER <br /> CAMPBELL,JON&SUSAN <br /> 395 SUSSEX LA <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 /> j not grant permission for additional or related work which requires sepazate <br /> ;j 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 construction authorized is not <br /> ', commenced within 180 days of the date of issuance,or if construction is <br /> � .5uspended 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.T ' permit may be <br /> re at any tim r due cause. <br /> S� 20 � // � , �� / � <br /> . App icant ermitee S r Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />