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CITY OF ORONO 11111 111111 111 111 HI I H I MEI <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 z — 0 ID 9 <br /> DATE ISSUED: 06/11 5/22 012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4295 WATERTOWN RD <br /> PIN : 31-118-23-13-0004 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 City of Orono <br /> PERMIT TYPE : ACCESSORY STRUCTURE 2750 Kelley Parkway <br /> Drono MN 55356 952-249-4600 <br /> PROPERTY TYPE : RESIDENTIAL <br /> Receipt No: 3.007043 Jun 15, 2012 <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS Raymond & Kimberly Kang\ <br /> VALUATION : $ 32,000.00 .00 <br /> Previous Balance: <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING AND ELECTRICAL(STATE) Permits <br /> 2012-00379 4295 Watertown 488.25 <br /> POLE BARN Rd <br /> PLAN REVIEW COLLECTED 2012-00378$317.36 101-32510 <br /> Building Permits <br /> Permits <br /> 2012-00379 4295 Watertown 16.00 <br /> Rd <br /> 101-20802 <br /> Due to govts-State <br /> Total: 504.25 <br /> Check <br /> Check No: 4649 504.25 <br /> Payor: <br /> Raymond 1E Kimberly Kang\ <br /> Total Applied: 504.25 <br /> Change Tendered: .00 <br /> 06/15/2012 08:21AM <br /> APPLICANT PERMIT FEE SCHEDULE 488.25 <br /> KANG,RAYMOND&KIMBERLY STATE SURCHARGE(VALUATION) 16.00 <br /> 4295 WATERTOWN RD TOTAL 504.25 <br /> MAPLE PLAIN,MN 55359 <br /> OWNER <br /> KANG,RAYMOND&KIMBERLY <br /> 4295 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 is responsible for assuring all required inspections are <br /> requested in conformance with,tbe-Staie Building Code.This permit may be <br /> revoked-atm time for clue cause. • 4,9 <br /> l /sl (Z r C`>v1 _ �� _ r <br /> / <br /> pjj t Permitee 'gnature Date Issued By Signature Date <br /> �TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />