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CITY OF ORONO * Z 0 1 3 - 0 0 1 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 55,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> ADV PLAN REVIEW$467.51 PD 2013-00192 <br /> APPLICANT PERMIT FEE SCHEDULE 719.25 <br /> M&M HOME CONTRACTORS STATE SURCHARGE(VALUATION) 27.50 <br /> 205 WINKLER TRAIL <br /> COLOGNE,MN 55322- TOTAL 746.75 <br /> (612)554-2556 PAID WITH CC# 1137 <br /> Minnesota State License#: BC560376 <br /> OWNER <br /> LISLE, STEVEB&ANGELA <br /> 3460 BIRCH LA <br /> WAYZATA,MN 55391- <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. 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 180 days of the date of issuance,or if construction is <br /> spended for a perio of 180 days at any time afrer work has commenced. <br /> Th'e ap t i r spo ib,e r suring all required inspections are <br /> requested n co rm�n e tiv uilding Code.This permit may be <br /> revoked at y � e for u'e ca s ., <br /> 1 I� � <br /> `` Applicar�t P ; te i at re� — �/D� / � �� � / � / � <br /> '�.` � � Issu y Sign rc Datc <br /> `I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />