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CITY OF ORONO PERMIT NO.: 2011-00187 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/3112011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1325 VINE PL <br /> PIN : 07-117-23-42-0003 <br /> LEGAL DESC REG. LAND SURVEY NO.0488 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SIDING (.f- 131 a-- <br /> VALUATION $ 11,000.00 1 <br /> NOTE: RESIDE HOUSE AND INSTALL(1)NEW DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> TOM SCHULTZ CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 <br /> 2115TH AVENUE N TOTAL 212.00 <br /> HOPKINS,MN 55343- <br /> (952)933-9977 PAID WITH CC# 6642 <br /> Minnesota State License#: 20455458 <br /> OWNER <br /> CARLSON,DON&MARY <br /> 1325 VINE PL <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 /> re ed at any ' e fo due ause. <br /> r 3 X31 /.' l ll <br /> Applicant Permitee Signature Date Iss a By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />