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' CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * � 0 1 3 - PJ 1 2 4 B * <br /> DATE ISSUED: 12/03/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2990 SUSSEX RD <br /> PIN : 04-117-23-31-0020 <br /> LEGAL DESC : FOX BEND <br /> : LOT 3 BLOCK 4 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 50,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: FIREPLACE,ELECTRICAL(STATE) <br /> ADD GAS FIREPLACE MAIN FLOOR LIVING ROOM <br /> CONVERT MASTER FP TO GAS FP <br /> APPLICANT pERMIT FEE SCHEDULE 681.75 <br /> WIPO HOMES STATE SURCHARGE(VALUATION) 25.00 <br /> 15623 NORMANDY LANE <br /> MINNETONKA, MN 55345- TOTAL 706.75 <br /> (612)396-6728 PAID WITH CC# 4038 <br /> OWNER <br /> KELLY,JUSTIN&SUSAN <br /> 2990 SUSSEX RD <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 separate <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 l SO 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 at any time for due cause. <br /> � !Z� 3 � /3 <br /> pplicant Permitee Signature Date Issued By Si ature /ate / <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED E. <br />