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y � CITY OF ORONO * z 0 1 5 - a 1 4 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUEU: 12/02/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4355 BAYSIDE RD <br /> PIN : 06-117-23-13-0005 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTIV[TY : 434-RESIDENT[AL <br /> VALUAT[ON : $ 5,000.00 <br /> NOTE: REPAIR AND FOOTING ONLY <br /> APPLICANT PERM[T FEE SCHEDULE 123.87 <br /> PLAN REVIEW 80.52 <br /> MITTELSTAEDT INC STATE SURCHARGE(VALUATION) 2.50 <br /> 11730 BRADDOCK AVE SE <br /> P O BOX 454 TOTAL 206.89 <br /> WATERTOWN,MN 55388- Payment(s) <br /> (612)716-9595 CHECK 12509 206.89 <br /> Minnesota State License#: BUIL-20012394 <br /> ' OWNER <br /> WHITE,GREG& LYNN <br /> 4355 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 /> State 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. AII 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 nu►l and void if construc[ion authorized is not <br /> commenced within 180 days of the date of issuance!or if construction is <br /> suspended for a period of s at any time after work has commenced. <br /> The applicant i� nsible f�r assuri g all required inspections are <br /> requeste onformance�th th te ilding Code.T 's permit may be /��"� <br /> re ed at any time for due c se�/ c � o <br /> `\ �' i'i�� / i/ \� \ � `I `J l�� (/` 1� .. <br /> �. �j � ' �` � �- � / / � <br /> Applicant Per�itee Signatu�'e Date Issued By Signatu Date <br /> / � <br />