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,� •• CITY OF ORONO PERMIT NO.: 2009-00037 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/05/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4545 WATERTOWN RD <br /> PIN : 31-118-23-24-0004 <br /> LEGAL DESC : UNPLATTED 31 118 23 <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 : $ 71,500.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: FIREPLA( <br /> RECONFIGURE EXISTING GREAT ROOM WITH NEN <br /> APPLICANT PERMIT FEE SCHEDULE 846.75 <br /> WALDENWOOD, LTD PLAN REVIEW 550.39 <br /> 6585 EDENVALE BLVD <br /> EDEN PRAIRIE,MN 55346- STATE SURCHARGE(VALUATION) 35.75 <br /> (952)974-2882 TOTAL 1,432.89 <br /> Minnesota State License#: 2302 <br /> OWNER <br /> BROLL, MR&MRS JEFF <br /> 4545 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 ariod of 180 days at any time after work has commenced. <br /> Th- ... -• t i•r'spo•sibl:for as equired inspections are <br /> r quested in firm.lc- th th- ing Code.This permit may be <br /> -yoked at.• 1 •• a se. <br /> j • <br /> s <br /> App can P: itee Sit ature Date d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WO' ''OTHER THAN DESCRIBED ABOVE. <br />