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� CITY OF ORONO * 2 0 1 4 — 0 0 2 Z 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4385 CHIPPEWA LA <br /> PIN : 31-118-23-42-0017 <br /> LEGAL DESC : UNPLATTED 31 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 600.00 <br /> NO"CE: CRAWLSPACE ENCAPSULAT[ON <br /> APPLICANT PERMIT FEE SCHEDULE 2825 <br /> STATE SURCHARGE(VALUATION) 0.30 <br /> COMPLETE BASEMENT SYSTEMS MAIL-IN FEE 2.00 <br /> 54004 LOREN DRIVE TOTAL 30.55 <br /> MANKATO, MN 56001- <br /> (507)387-0500 Payment(s) <br /> Minnesota State License#: BU[L-143377 CREDIT CARD 4436 30.55 <br /> OWNER <br /> FRITZLER, J. MARC <br /> 4385 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�to <br /> the approved plans and specilications,applicable City approvals,and the <br /> Sta[e Building Code. This permit is for only the work described and does <br /> not grant permission tbr additional or related work which rcquires separate <br /> permits. All provisions of laws and ordinances governing this type o1��vork <br /> shall be compied with whether or not specitied herein."i'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days ofthe date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at a�ry time for due cause. <br /> � <br /> / / ✓ <br /> Applieant Permitee Signature D e Iss I3y Signature Date <br />