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CITY OF ORONO * z 0 1 4 - 0 1 z 4 7 * <br /> . • 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2014 <br /> ORONO, MN 55356- <br /> (952) 249-�600 FAX: (952) 249-4616 <br /> ADDRESS : 248 CYGNET PL <br /> PIN : 04-117-23-23-0017 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 008 BLOCK 003 <br /> PERMIT TYPE : ADDITION / REMODEL/REPAIR <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 14,000.00 <br /> NO"I'F,: SEPARATG PERMI'fS RF,QU►RED: PLUMSING,MEC}[ANICAL,F,I,GCTRICAL(STATE) <br /> BATI1 REMODEL <br /> APPLICANT PGRMIT FEE SCHEDULE 250.75 <br /> PLAN REVIEW 162.99 <br /> FRANK GARDNER CONSTRUCTION STATE SURCFIARGE(VALUATION) 7.00 <br /> 3109 EAST 22ND STREET TOTAL 420.74 <br /> MINNEAPOLIS, MN 55406- <br /> (952)239-0084 Payment(s) <br /> Minnesota State License#: BUIL-BC646746 CHECK 9515291 S 420.74 <br /> OWNER <br /> CHANCE, JON& BIANCA <br /> 248 CYGNET PL <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1"he work for�vhich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable Cit��approvals,and the <br /> State E3uilding Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work�rhich requires separatc <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied 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 /> suspended � r a period of 180 days at any time after work has commenced. <br /> The appl nt is responsible for assuring all required inspections are <br /> reques d� conformance with the S[ate Building Code.This pernljLrn e <br /> �---'� <br /> revok d a any time for due cause. _ � <br /> � -_ -- C� / � /I� <br /> Applicanl Perm� ature Date Issued By ignature Date <br />