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� CITY OF ORONO PERMIT NO.: 2011-00037 <br /> 2750 KELLF,Y PARKWAY <br /> ORONO, MN 55356- DATE ISSt1ED: Ol/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> AUDRESS : 1 14 CHEVY CHASE DR <br /> PIN . 36-118-23-41-0035 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 002 <br /> ' PERMIT TYPE : ADDITION / REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPARA"I�E PGRMI"fS RLQUIRGD: PLUMBING AND ELECTRICAL(S"I�ATG) <br /> BUMPING [3AT1 IROOM IN"I'O GnRAGF.O�F MUDROOM <br /> �--- <br /> APPLICANT PERMIT FEE SCHEDULE 191.7� <br /> MARK D. W[LL[AMS CUSTOM IIOMES, INC. STATE SURCHARGE (VALUATION) 5.00 <br /> P.O. BOX 551 TOTAL I96.75 <br /> WAYZATA, MN 55391- <br /> (612)251-9750 PAID WITH CC# SOSI <br /> Minnesota State License#: 20494403 <br /> OWNER <br /> MCLEAN, CI�iRISTOPHER& ELIZABETH <br /> I 14 CHEVY CHASE DR <br /> WAYZA"I'A, MN 55391- <br /> AGI2EEMENT AND SWORN STATEMENT <br /> "fhe���ork lor which this permit is issued shall be performed according to <br /> thc approvcd plans and specitications,applicablc City approvals,and thc <br /> Statc I3uilding Code. This permit is for only the work dcscribed and docs <br /> not grant permission for additional or rel��ted wurk which requires separate <br /> permits. All provisions of la���s and ordinanccs guvcrning lhis typc of work <br /> shall be compied with whethcr or not spccificd hcrcin.'I'his permit will <br /> expire and become null and void if constructiun authorized is not <br /> conunenced���ithin I 80 da}�s of the date uf issyancc,or if construction is <br /> suspended for a period of I 80 da��s at aEiy tim��r work has commenccd. <br /> The applicant is r�sponsible�br assuringplfi'rc ircd inspections are <br /> requested in conformxnc�t�ith thc StpCc,[j�ing Code.'I�his permit may be <br /> � <br /> revo� d at an�-time.�for duc c�x�s;i,-�"� <br /> . ;-l'� � /� / // / / <br /> A lic���1'ern�itee� ignature ��— Date Issued l3v.' ature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV . <br />