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1 <br /> CITY OF ORONO PERMIT NO.: 2011-00197 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 295 TONKA AVE <br /> PIN 05-117-23-13-0028 <br /> LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK <br /> LOT 000 BLOCK 003 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 6,240.00 <br /> NOTE: OTHER INSPECTION REQUIRED AT START OF JOB <br /> INSTALL 14 ANCHORS <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 60335 U S HWY 12 <br /> LITCHFIELD, MN 56387- MISC FEE 0.00 <br /> (320)974-8729 MAIL-IN FEE 2.00 <br /> Minnesota State License#: 20446489 TOTAL 154.50 <br /> PAID WITH CC# 3188 <br /> OWNER <br /> FRANK,CORY <br /> 295 TONKA AVE <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 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 /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> ,requested in conformance with the State Building Code.This permit may be <br /> 4�ire7vked at anytime r due cause..ant ermitee 'gnature Date IssueBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />