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} � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 8 4 8 * <br /> DATE ISSUED: 08/06/2014 <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 /> LECAL DESC : UNPLATTED 3l 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/ REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NO"CE: FOUNDATIN REPAIR <br /> O"CHER [NSPEC"IION REQUIRED: AF�I'ER FORMED UP AND BEFORE POUR. <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> STATE SURCHARGE(VALUATION) 2.50 <br /> FRITZLER,J. MARC TOTAL 120.50 <br /> 4385 CHIPPEWA LA <br /> MAPLE PLA(N, MN 55359- Payment(s) <br /> CHECK 6892 120.50 <br /> OWIYER <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 perfbrmed according to <br /> the approved plans and specitications,applicable City approvals,and thc <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 governing this type 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 within]80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> �he applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked anv time ue se. <br /> �'-� - / g- , � ,� <br /> Applic• t ' itee Si � D � Issu By Signature Date <br /> r <br />