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� <br /> ' CITY OF ORONO * 2 0 1 4 - 0 0 6 9 7 * <br /> 2750 KF,LLEY PARKWAY DATE ISSUED: 08/22/2014 <br /> ORONO, MN 5_5356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3630 E[LEEN ST <br /> PIN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 E3LOCK 001 <br /> PERMIT TYPE : ADDITION /REMODEL/REPAIR <br /> PROPERTY TYPF. : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/ REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : .�', 38,400.00 <br /> NO"I�F�:: S}:PNZA�I�I-:PI�:R'VlI"I�S REQUIRED: I?LEC"fRICAL (S"f�1�I'I�.) <br /> DGI�A('FfED GnRnUI: <br /> ANPLICAIYT PERMIT FEE SCHEDULE 563.50 <br /> STATE SURCHARGE(VALUATION) 19.20 <br /> SUSSEL CORPORATION TOTAL 582.70 <br /> 654 TRANSFER ROAD <br /> 16B Payment(s) <br /> ST. PAUL, MN 55114 CHECK 59415 582.70 <br /> (651)645-0331 <br /> Minnesota State License#: BUIL-BC001934 <br /> OWNER <br /> MCCUTCHEON, MARK&JAYMG <br /> 3630 EI(,EEN ST <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> l�he work for which diis permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildin�Code. 'I�his 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 coverning this type of work <br /> shall be compied�vith H�hether or not spccitied herein.This permit will <br /> expire and bccome nuli and void if construction authorized is not <br /> commenced within I 80 days of'the date of issuance,or iY construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applica � responsible for assuring all required inspections are <br /> requeste �n conf rmance with the State E3uilding Code.�Chis permit may be <br /> revol:• aE sn� me for due cause. � <br /> _ <br /> K/' � /��/ <br /> Ap icant Pcrmitee Signature Date Issuc �Signature Date <br />