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CITY OF ORONO PERMIT NO.: 2011-00456 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUED: 06/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4635 TONKAVIEW LA <br /> PIN 07-117-23-32-0027 - <br /> LEGAL DESC REG. LAND SURVEY NO. 1036 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION $ 3,000.00 <br /> NOTE: REPAIR WATER DAMAGE <br /> REMOVE&REPLACE PLASTER ON SOUTH CEILING OF LIVING ROOM <br /> i <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> HUBBS CONSTRUCTION,INC. STATE SURCHARGE(VALUATION) 1.50 <br /> 13419 FENWAY BLVD.N. TOTAL 90.00 <br /> HUGO,MN 55038- <br /> (651)426-4918 PAID WITH CC# 7640 <br /> Minnesota State License#:20218620 <br /> OWNER <br /> MARKNAM,ALENA <br /> 4635 TONKAVIEW LA <br /> MOUND,MN 55364- <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 /> revoked at any time for due cause. <br /> -Applicant Permitee Signature Date Issued By S' ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AA40 E. <br /> ti <br />