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� ' • CITY OF ORONO PERMIT NO.: 2010-00698 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: OS/24/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2515 COUNTRYSIDE DR <br /> PIN : 04-117-23-11-0007 <br /> LEGAL DESC : COUNTRYSIDE MANOR <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ADDITION /REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 20,000.00 <br /> NOTE: SEPGRATG PGRMITS REQUIRF.D: ELECTRICAL(STATE) <br /> PLAN REVIEW PGI;COLLLC7'I;D 2010-00698 $220.51 <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> BUILDERS BY DESIGN STATE SURCHARGE(VALUATION) 10.00 <br /> 21185 VIKING BLVD. TOTAL 349.25 <br /> WYOMING, MN 55092- <br /> Minnesota State License#: 20026555 PAID WITH CC# 1097 <br /> OWNER <br /> KAHLER, CHRIS& DELPHINE <br /> 2515 COUNTRYS[DE DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificatlons,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 rype of work <br /> shall be compied with whether or not specitied herein.'fhis permit will <br /> expire and become null and void if construction authorized is not <br /> commenced ti�ithin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work ha ommenced. <br /> The applicant is res nsible for assurin�all rc rCd ins tions are <br /> requested in co � ance with S • c[3u ii Co . his permit may be <br /> revoked at a � e for due �e. <br /> o ' , � ,z� ; a io <br /> Applicant Permitee Signatur Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />