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CITY OF ORONO PERMIT NO.: 2010-00100 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/11/2010 <br /> • <br /> 4 (952) 249-4600 FAX: (952) 249-4616 <br /> • <br /> ADDRESS : 40 WEAR LA N <br /> PIN : 33-118-23-34-0010 <br /> LEGAL DESC : ROLLING MEADOWS 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 20,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> ADVANCED PLAN REVIEW PAID WITH CHECK#037622-$220.51 <br /> THEY DID PAY AND ESCROW FOR 110%OF BID. <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> MASTERPIECE HOMES STATE SURCHARGE(VALUATION) 10.00 <br /> 127 EAST COUNTY RDC TOTAL 349.25 <br /> LITTLE CANADA,MN 55117- <br /> (651)484-3244 <br /> Minnesota State License#: 1435 <br /> OWNER <br /> HOFFMAN,HUGH J <br /> 40 WEAR LA N <br /> LONG LAKE,MN 55356- <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 r as ing all required inspections are <br /> requested in conformance w th the St to Building Code.This permit may be <br /> revoked at y time for due ause. c _/( . <br /> /( / Zo/o 07)'04 , / (� <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />