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' CITY OF ORONO * Z 0 1 4 - 0 0 6 4 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRES : 31 15 SUSSEX RD <br /> PIN : 04-117-23-32-0015 <br /> LEGAL ESC : FOX BEND <br /> : LOT 004 BLOCK 002 <br /> PERMIT XP : ADDITION/REMODEL/REPAIR <br /> PROPER Y T E : RESIDENTIAL <br /> CONSTR �TI N TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVIT : 434-RESIDENTIAL <br /> VALUAT ON : $ 1I5,000.00 <br /> NOTE: S �RA PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN M EL <br /> APPLICANT PERMIT FEE SCHEDULE 1,146.75 <br /> STATE SURCHARGE(VALUATION) 57.50 <br /> M. A. PE S DESIGNBUILD <br /> 6161 WO D A AVE. S TOTAL 1,204.25 <br /> EDINA, 'S5 4 Payment(s) <br /> (952)925- 455 CREDIT CARD 7738 1,204.25 <br /> Minnesota tate 'cense#: BUIL-BC006704 <br /> OWNER <br /> MARY SKO DANIEL DELMORE& • <br /> 3115 SUS EX <br /> LONG LA �, 55356- <br /> AG �E NT AND SWORN STATEMENT <br /> The work fo which is permit is issued shall be performed according to <br /> the approve pians specifications,applicable City approvals,and the <br /> State Buildi g Code This permit is for only the work described and does <br /> not grant pe issio r additional or related work which requires separate <br /> permits. All rpvisi s of laws and ordinances governing this type of work <br /> shall be com iad wi whether or not specified herein.This permit will <br /> expire and b come I and void if construction authorized is not <br /> commenced ithin 0 days of the date of issuance,or if construction is <br /> suspended f a peri of 180 days at any time after work has commenced. <br /> The applic is res sible for assuring all required inspections aze <br /> requested in omfo nce with the State Building Code.This permit may be <br /> revoked at y time r due cause. <br /> / / <br /> Applicant ertnit Signature Date Issued By Signature Date <br />