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� ' - CITYOFORONO * Z0 1 Z — fd0644 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/1U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4265 CHIPPEWA LA <br /> PIN : 31-118-23-42-0019 <br /> LEGAL DESC : UNPLATTED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEVERATE PERMI I�S REQUIRED: EI.,ECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> PHEASANT HILLS CARPENTRY INC. PLAN REVIEW 76.70 <br /> 5700 REBECCA PARK TR <br /> LORETTO, MN 55357- STATE SURCHARGE(VALUATION) 2.50 <br /> (612)221-8577 TOTAL 197.20 <br /> Minnesota State License#:20629764 PAID WITH CC# 3163 <br /> OWNER <br /> MCCAFFREY, THOMAS& KATHLEEN <br /> 4265 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for��hich this permit is issued shall be performed according to <br /> [he approved plans and specifications,applicable Ciry 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. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her or not specified herein.This 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> re e iq co r ce wittrthe State Building Code.This permit may be <br /> v � y me r ue �use. <br /> n -' <br /> �� �� � � <br /> A t P mit ignature Date � �� � � �� <br /> Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />