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� CITY OF ORONO * 2 0 1 4 - 0 0 5 8 7 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2696 CAROLINE AVE <br /> PIN : 20-117-23-24-0034 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 20,000.00 <br /> NOTF: SEPARATE PERMITS REQUIRED: ELECTR[CAL(STATE) <br /> PRIOR TO RELEASE OF ESCROW Fi)NDS AN AS-BUILT SURVEY AND HARDCOVER CALCULA"I'IONS MUST BF.,SUBMITTED AND <br /> R <br /> INITIAL <br /> � <br /> APPLICANT PERMIT FEE SCHEDULE 186.50 <br /> STATE SURCHARGE(VALUATION) 10.00 <br /> DESIGNER SPACES INC. MISC FEE 0.00 <br /> 16345 GRINNELL AVE <br /> LAKEVILLE, MN 55044- TOTAL 196.50 <br /> Minnesota State License#: BUIL-639262 Payment(s) <br /> CHECK 5208 196.50 <br /> OWNER <br /> MILLER,CHARLES&JILL <br /> 2696 CAROLINE AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work lbr which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'I his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pemlits. All provisions of laws and ordinances goveming this rype 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 H�ithin 180 days 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 /> 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 at �time due cause. <br /> -^ � / / <br /> Applic Pe�rtee Signature Date Issued By S� ature � � Date <br /> �� <br />