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� � CITY OF ORONO PERMIT NO.: 2010-00534 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEv: 07/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3265 CARMAN RD <br /> PIN : 20-117-23-14-0011 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 26,000.00 <br /> NOTE: SEPERATF,PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> ADVANCE PLAN REVIEW PAID 6/29/10$275.44 BY CREDIT CARD 2010-00533 <br /> REMODEL BATH-CONVERT 2 BATHS INTO 1 <br /> APPLICANT PERMIT FEE SCHEDULE 423.75 <br /> C N OSTROM AND SON INC STATE SURCHARGE(VALUATION) 13.00 <br /> 23400 PARK ST <br /> PO BOX 758 TOTAL 436.75 <br /> EXCELSIOR, MN 55331- <br /> Minnesota State License#: 1907 <br /> OWNER <br /> HECTOR, MARK& BONNIE <br /> 3265 CARMAN RD <br /> EXCELSIOR,MN 55331- <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 /> Sta[e Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Buiiding Code.This permit may be /G�7✓ <br /> revoked_at a�me f ue cause. "7 /� 1 <br /> � �7 i /3 / i � � G�YyI C� l l� <br /> Applicant Permitee Signature Date Issued By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />