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- • .# . CITY OF ORONO PERMIT NO.: 2011-01385 <br /> I 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1ll02/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3465 CRYSTAL PL <br /> PIN : 17-117-23-43-0008 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 005 BLOCK 002 <br /> PERMIT'I'YPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIV[TY : 434-RESIDENTIAL <br /> VALUAT[ON : $ 30,000.00 <br /> NOTE: SEP�RATE PERMITS MAY BE REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTF,RIOR REMODEL-DUE TO WA7'ER DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 466.75 <br /> LALEMAN, RENEE STATE SURCHARGE(VALUATION) 15.00 <br /> 4886 EDGEWATER DRIVE TOTAL 481.75 <br /> MOUND, MN 55364- <br /> OWNER <br /> LALEMAN, RENEE <br /> 4886 EDGEWATER DRIVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I he 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[3uilding Code. This permit is for only thc work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. 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 au[horized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reque ted in conformance with the State Building Code."I'his permit may be <br /> re � d at any time or ue c se. r1 <br /> ` / � / � ��,� <br /> Applic nt Permitee Signature Date �' �� � ��� <br /> Iss By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />