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W <br /> �tw CITY OF ORONO _ <br /> 4r * 2 0 1 4 0 1 1 3 6 <br /> „�. 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2014 <br /> ! ORONO, MN 55356- <br /> 52) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4 CHIPPEWA LA )j5�eA� � � 44AJ-r-ess <br /> PIN 31-118-23-42-0009 <br /> LEGAL DESC CHIPPEWA <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE STUCCO <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 95,000.00 <br /> NOTE: REMOVE STUCCO,REPAIR FRAMING,REPLACE STUCCO AND REPLACE(2)WINDOWS. <br /> APPLICANT PERMIT FEE SCHEDULE 1,019.25 <br /> CROWN CONSTRUCTION <br /> STATE SURCHARGE(VALUATION) 47.50 5249 GOLDEN VALLEY RD <br /> GOLDEN VALLEY, MN 55427- Payment(s) TOTAL 1,066.75 <br /> (612)868-1899 CREDIT CARD 0990 1,066.75 <br /> Minnesota State License 4: BUIL-BC450383 <br /> OWNER <br /> PETRUSA,JOSEPH&JANELLE <br /> 4325 CHIPPEWA LA <br /> MAPLE PLAIN,MN 55359- <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 ANsuedSignature Date <br />