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NEMNUMIMM <br /> w CITY OF ORONO * 2013 - 00366 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/29/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3760 WATERTOWN RD <br /> PIN : 32-118-23-31-0005 <br /> LEGAL DESC HILLAWAY FARM <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 80,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 906.75 <br /> CONSTRUCTION RESOURCE STATE SURCHARGE(VALUATION) 40.00 <br /> 15724 115TH AVENUE <br /> LITTLE FALLS,MN TOTAL 946.75 <br /> (763)360-6486 PAID WITH CC# 3963 <br /> Minnesota State License#: BC447049 <br /> OWNER <br /> STEPHENSON,REVIS <br /> 3760 WATERTOWN RD <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 &responsibl assuring all required inspections are <br /> request n 6 anc with ilding Code.This permit may be <br /> rev ed me for e <br /> c / APO <br /> p ite i at Date 41SBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />