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CITY OF ORONO * 2 0 1 4 - 0 0 6 8 2 * <br /> 2750 KF,LLEY PARKWAY DA"TG ISSUED: 07/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3650 CASCO AVF. <br /> PIN : 20-I 17-23-31-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 147 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAI_, <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NO'I�E: SEPARATE PF,RMI"[�S RGQUIREU: PLUMBING,EI.ECTRICAL(STATE) <br /> Bn1'H RF?MOD[:L <br /> ANPLICANT PERM[T FEE SCHEDULE 265.50 <br /> LECY BROS HOMES STATE SURCHARGE(VALUATION) 7.50 <br /> 15012 HWY 7 TOTAI, 273.00 <br /> MINNETONKA, MN 55345- Payment(s) <br /> (952)944-9499 CHECK 38901 273.00 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> GERSOVITZ, MR. & MRS. <br /> 3650 CASCO AVE <br /> WAYZATA, MN 5539]- <br /> AGREEMGNT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specitica[ions,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> no[grant permission for additional or related 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.'I�his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commcnced. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conrormancc N�ith the State Building Code.'This permit may be <br /> re� �ed at any time for due cause. <br /> (�,, <br /> �� 1 <br /> �- � ��e � �� � � /5` <br /> Applicant rmitee ignature D te Is ued By Signature Date <br />