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' ' CITY OF ORONO PERMIT NO.: 2011-00103 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DA7'E ►ssuE�: 04/OS/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2650 FOX ST <br /> PIN : 04-117-23-41-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 215,900.00 <br /> NOTE: SEPERA"I�E YERMITS RGQUIRED: NLUME3ING.MECHANICAL,ELGCTRICAL(STATC) <br /> ADV. YLAN REVILW PD2/l�/1 I 20 1 1-00 1 02 <br /> ADDITIONAL$390 WAS ADDED"f0 PGRMIT FEE- DID NO�I'COLLF,CT RIGH"l�AMOUN1'OF ADV.PLAN REVILW WAS YAID <br /> APPLICANT PERMIT FEE SCHEDULE 1,756.65 <br /> JLF HOMES, LLC <br /> Ia52 INDUSTRIAL BLVD. -SUITE STATE SURCHARGE(VALUATION) 107.95 <br /> MAPLE PLAIN, MN 55359 TOTAL 1,864.60 <br /> (763)479-0795 <br /> Minnesota State License#: 20521437 <br /> OWNER <br /> PAULSON, STEPHEN <br /> 2650 FOX ST <br /> WAYZATA, MN 5�391- <br /> AGREEMENT AND SWORN STATF:MENT <br /> �I�hc work for which this pcnnit is issued shall be performed accordin�to <br /> the approved plans and specitications,applicable City appruvals,and the <br /> State L3uilding Code. This pennit is ibr only the work described and does <br /> not grant permission for additional or related work���hich rcyuires scparate <br /> permits. All provisions of laws and ordinances governing Uiis type of���ork <br /> �- shall bc compied���i�h N�hcther or not specified hercin.This permit will <br /> expire and bccomc null and void if crnistruction authorized is not <br /> conuncnccd within I 80 days of the datc of issuancc,or if construction is <br /> suspended for a period of 180 da�s at any time attcr work has commenccd. <br /> The applicant is responsible fo��assuring all requircd inspections are <br /> re�}uested iu'conformance witlj�the Statc[3uilding Code.This permit may be <br /> �tevoked tU�any timc lor due Gause. <br /> �? ; � � <br /> i ��.� L � <br /> ,.�� /r"C. : 4 � � . ��',. (.��-772LfiT�-� �(��-u�J �/ � J' � � <br /> Applicant Permitye Signalure Date Issu�d'f3y Signature % Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />