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CITY OF ORONO PERMIT NO.: 2011-01047 <br /> ` 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE ISsuEn: 10/05/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 480 SUSSEX LA <br /> PIN : 04-117-23-31-0013 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> REMOVE WALL AND INSTALL BEAM <br /> APPLICANT pERMIT FEE SCHEDULE 73.75 <br /> WATER STREET HOMES LLC PLAN REVIEW 47.94 <br /> 305 MINNETONKA AVE S <br /> WAYZATA,MN 55391- STATE SURCHARGE(VALUATION) 1.00 <br /> (952)474-6160 TOTAL 122.69 <br /> Minnesota State License#: 20390906 <br /> OWNER <br /> MCMILLAN, WILLIAM&MARY <br /> 480 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 dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. 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 conforman ith the State Building Code.This permit may be <br /> revoked at an me f e c se. <br /> /a � _S" i / , l l <br /> p icant Permitee Signature Date Issue y ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB VE. <br />