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�., CITY OF ORONO PERMIT NO.: 2011-00142 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/03/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3265 CARMAN RD <br /> PIN : 20-117-23-14-0011 <br /> LECAL DESC : CARMAN COVE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 58,000.00 <br /> NO"fG: EX'll?RIOR RENAIR/RGMODI?1, <br /> � <br /> � <br /> � <br /> ' APPLICANT PERMIT FEE SCHEDULE 741.75 <br /> RIC, INC. <br /> 7675 HWY 13 WEST PLAN REVIEW 482.14 <br /> SAVAGE, MN 55378- STATE SURCHARGE(VALUATION) 29.00 <br /> (612)220-1851 TOTAL 1,252.89 <br /> Minnesota State License #: 20639105 PAID WITH CC# 0833 <br /> OWNER <br /> HECTOR, MARK& [30NNIE <br /> 3265 CARMAN RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> i Thc���ork for which this permit is issued shall be perf��nncd according to <br /> the approved plans and specifications_applicable City approvals,and the <br /> � State[3uilding Code. 'l�his permit is t�ir only the work described and docs <br /> not crant permission for additional or related work���hich requires separate <br /> permits All provisions of laws and ordinances goveming this type of work <br /> shall bc compied with wl�ether or not specified herein.This permit N�ill <br /> expire and become null and void if construction authorized is not <br /> conunenced�vithin I 80 da}�s of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> 1'hc applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State I3uilding Code.'fhis permit may be <br /> revoked at am�time- r due cause. <br /> - 3i3iz� � � � <br /> Applicant Pcrmitee Signat e Date Issu }3y Signature Date <br /> �:� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />