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- CITY OF ORONO PERMIT NO.: 2010-00280 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 920 DAKOTA AVE <br /> PIN : 26-118-23-33-0017 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,200.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBWG,MECHANICAL,FIREPLACE, ELECTRICAL(STATE) <br /> INSTALL GARAGE BEAM/SHEETROCK <br /> REPLACE(2)WINDOWS IN KITCHEN <br /> APPLICANT PERM[T FEE SCHEDULE 1 18.00 <br /> INNOVATIVE BU[LDING & DESIGN LLC STATE SURCHARGE(VALUATION) 2.10 <br /> P O BOX 490298 <br /> BLAINE, MN 55449- TOTAL 120.10 <br /> (612)239-4490 <br /> Minnesota State License#: 20635372 <br /> OWNER <br /> GAWRON, LECH&NANCY <br /> 920 DAKOTA AVE <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing 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 for a period of 180 days at any[ime afrer work has commenced. <br /> The applican[is responsible for assuring all required inspections are <br /> requested in conformance with the 5tate Building Code.This permit may be <br /> revoked at any time for due cause. �� .-j <br /> ,� 5/ y l/c � �����l� �l � �L-) <br /> A�ificant Permitee Signature Date ►s � By�Signaturc Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />