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� CITY OF ORONO * Z 0 1 6 - 0 0 3 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 627 FERNDALE RD N <br /> PIN : 36-118-23-11-0029 <br /> LEGAL DESC : LAURENT ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : OTHER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 30,000.00 <br /> NOTE: REMOVE INSULATION,AIR-SEAL AND REINSULATE <br /> ATTIC AND VAULTS <br /> APPL[CANT PERMIT FEE SCHEDULE 490.12 <br /> STATE SURCHARGE(VALUATION) 15.00 <br /> KINZER CONSTRUCTION SERVICES TOTAL 505.12 <br /> 6252 BURY DR Payment(s) <br /> EDEN PRAIRIE,MN 55346- CREDIT CARD 8430 505.12 <br /> OWNER <br /> JOHNSON,BONNIE <br /> 627 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 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 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 authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for du cause. - 7 � <br /> � - � � , �� <br /> � i <br /> pplie,ant Permite ature' Date Issued ignature Date <br />