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CITY OF ORONO PERMIT NO.: 2008-00452 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 01/15/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4701 WEST BRANCH RD <br /> PIN : 07-117-23-22-0016 <br /> LEGAL DESC : WEST BRANCH ACRES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 308,603.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,SEPTIC,FIREPLACE,FIRE, <br /> LAWN IRRIGATION, WELL(STATE),ELECTRICAL(STATE) <br /> SEPTIC AREA:NO NEED FOR SAC <br /> MUST RELOCATE 12X9 SHED TO REAR YARD <br /> APPLICANT PERMIT FEE SCHEDULE 2,310.75 <br /> ALBERTSON,DAVID&WENDI PLAN REVIEW 1,501.99 <br /> 4701 WEST BRANCH RD <br /> MOUND,MN 55364- STATE SURCHARGE(VALUATION) 154.30 <br /> TOTAL 3,967.04 <br /> OWNER • <br /> ALBERTSON, DAVID&WENDI <br /> 4701 WEST BRANCH RD <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 /> requ d in conformance with the State Building Code.This permit may be <br /> rev at any", • .use. <br /> f <br /> pplicant Permitee Signature Date <br /> Issued B egnature *4.44 Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB i ABOVE. <br />