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CITY OF ORONO * z a 1 4 - a 1 z 0 4 * <br /> , ` 2750 KELLEY PARKWAY DATE ISSUEU: 10/22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1675 CONCORDIA ST <br /> PIN : 17-]17-23-22-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1628 <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 : $ 30,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMI3ING, MECHANICAL, EL�CTRICAL(S"[�ATG) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 466.75 <br /> PLAN REVIEW 303.39 <br /> KEN LARSON CONSTRUCTION STATE SURCHARGE(VALUATION) 15.00 <br /> 11624 TIMBERL[NE ROAD <br /> MINNETONKA, MN 55305 TOTAL 785.14 <br /> (612)210-8486 Payment(s) <br /> CHECK 77�2 785.14 <br /> OWNER <br /> TRAINOR, HELEN <br /> 1675 CONCORDIA ST <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 davs 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 /> The applicant is responsible for assuring all required inspectiuns are <br /> requested in conCormanee with the State Building Code.This permit may be <br /> revohed at any time lor due cause. <br /> � / p <br /> ,�L,�'" (, '�-�'�.r—� � �L �� �ZZ� I <br /> plicant Fermitee Si�naturc Datc lssued y Signaturc Date <br />