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� , CITY OF ORONO PERMIT NO.: 2011-01297 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 1UO2/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 650 BROWN RD N <br /> PIN : 34-118-23-12-0004 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 42,000.00 <br /> NOTE: SEYERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> K[TCHEN REMODEL&ENCLOSE (3)SEASON PORCH <br /> APPLICANT pERMIT FEE SCHEDULE 595.75 <br /> G. THOMAS CONSTRUCTION CO STATE SURCHARGE(VALUATION) 21.00 <br /> 13750 IOTH STREET N TOTAL 616.75 <br /> STILLWATER,MN 55082- <br /> (651)436-6599 PAID WITH CC# 1184 <br /> Minnesota State License#: 542093 <br /> OWNER <br /> GARRETT, WARREN&TANA <br /> 650 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> "�he 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 relatcd 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 construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,ot if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The a plicant is responsible for assuring all required inspections are <br /> re ed in conformance with the State Building Code.This permit may be <br /> r o d at any time for due cau e. <br /> ; l i lll� � �� <br /> A licant rmi e igna ure Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />