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CITY OF ORONO PERMIT NO.: 2009-00077 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 02/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3420 BAYSIDE RD <br /> PIN : OS-117-23-13-0012 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 13,000.00 <br /> NOTG: SEPERATE PERM17'S REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REMODEL[NG MAIN FLOOR BATH&KITCHEN AND ADDING MASTER BATH <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> MILESKI REMODELING PLAN REVIEW 153.40 <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- STATE SURCHARGE(VALUATION) 6.50 <br /> (612)670-3243 TOTAL 395.90 <br /> Minnesota State License#: 20591459 <br /> OWNER <br /> MILESKI, BLAIR <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc�vork for which this permit is issued shail be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[a[e 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 oY 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 appiicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked an time for due cause. <br /> � � �� �'� �. P �; � G�'Yl c��n 2`� �� � <br /> � � <br /> Ap � t Permitee ignature Date Issued y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />