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r ..� CITY OF ORONO I 11 III1111 II III1111111 I 0 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 985 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0011 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 21,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> PORCH FINISH <br /> APPLICANT PERMIT FEE SCHEDULE 354.00 <br /> FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 10.50 <br /> 1380 DUCKWOOD DRIVE <br /> EAGAN, MN 55123- TOTAL 364.50 <br /> (612)710-0391 <br /> Minnesota State License#:20460771 <br /> OWNER <br /> BROCKMAN,JENNY&GERRY <br /> 985 WILLOW VIEW DR <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 for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked al any tk.- for due cause. <br /> )0/1- (-1/ 6)Y1A—r(A9A___ /0/ 2-4// /_."5 <br /> Applic. t Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />