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PERMIT <br /> CITY ®F ORONO PERMIT TYPE: <br /> 2730 Kelley Parkway- P.O. Box 66 BUILDING <br /> Crystal Bay, Minnesota 55323 Permit Number: ;-..._;t) 5 <br /> (612)473 7357 Date Issued: 06/20/S46 <br /> SITE ADDRESS: <br /> 76 ; WHITE OAK t_:I <br /> {B <br /> P . 1 . N . : 04-1 <br /> 17-2' :-42--ix)1 <br /> DESCRIPTION: C <br /> L:E.DRM & �:A i H ADD T I C. <br /> Eiui 1di? `-a Permit Type SF-ADD/REMODEL <br /> Fifaj }i.9in�✓ Wiest 3'k Type <br /> tpe AD t. iION <br /> UBC Occupancy R-3 <br /> Construction Type VN <br /> Census Code 434 ALT . RESIDENTIAL <br /> REMARKS: <br /> SEPARATE PERMITS REQUIRED FOR PL„G, MECH & STATE ELECTRICAL . <br /> FEE SUMMARY: _ <br /> fAi UA i I ON $10, 000 <br /> tw C Pe $162 . 25 <br /> i <br /> Plan Review $105 . 46 <br /> Surcharge `#s5_00 <br /> Total Fee $272 . 71 <br /> CONTRACTOR: OWNER: - Applicant - <br /> SHANNON JOHN <br /> ':;!760 WHITE OAK ( I F <br /> ORONO MN 55356 <br /> 476-4868 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO Di i ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> IfidittAd iket.70/4->i A i2')/L47) (70 <br /> APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />