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� " - CITY OF ORONO PERMIT NO.: 2010-01209 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1925 CONCORDIA ST <br /> PIN : 18-117-23-14-0014 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 013 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 125,000.00 <br /> NOTG: SI?PERATE PI;RMI"1'S R�QUIRGD: PLUM131NG,MECHANICAL. ELEC"I'RICAL(STATE) <br /> FIRG DAMAGE RES1�ORA'I�ION-DGMO INTERIOR <br /> APNLICANT <br /> SERVICG TEAM OF PROFESSIONALS PERMIT FEE SCHEDULE 1,206.75 <br /> 6615 141ST AVE NW STATE SURCHARGE(VALUATION) 62.50 <br /> RAMSEY, MN 55303- TOTAL 1,269.25 <br /> (763)753-8080 PAID WITH CC# 7058 <br /> Minnesota State License#: 20301371 <br /> OWNER <br /> KONAT, THOMAS <br /> 1925 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe��ork tor�chich this pennit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Slate Building Code. 7�his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. nll provisions of laws and ordinances goveming this type of work <br /> shall be compicd with���hether or not specified herein."This pennit will <br /> expire and become null and void iY construction authorized is not <br /> commenced widiin 180 days of the date of issuance,or if constniction is <br /> suspended tor a period o(180 days at any time a�ter work has conunenced. <br /> The applicant is responsible£or assuring all required inspections are <br /> requested in conformance���ith the State Building Code.This permit may be <br /> revoked at any time for due cause. ���� <br /> ����� C�--�- l 1 / �l l � � 2.1L � l /v <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />