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CITY OF ORONO * 2 0 1 2 — PJ 1 0 8 1 * <br /> - 2750 KELLEY PARKWAY nATE [SSUED: 11/0�/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES <br /> VALUATION : $ 38,090.00 <br /> NOTE: SEPERATE PGRMITS REQUIRED: ELECTRICAI,(S"I'A"I'E) <br /> DGTACHED GA[tAGE <br /> * AS-BUIL"C SURVGY TO BE SUBMITTGD AND APPROVED PRIOR 1�0 RELEASE OF ESCROW AGREEMEN'I'. (INITIAL) <br /> V <br />�p <br />�N <br /> APPLICANT PERMIT FEE SCHEDULE 563.50 <br /> WESTLING, THOMAS& LORI PLAN REV[EW 62.88 <br /> 2640 FOX ST <br /> WAYZATA, MN 55391- STATE SURCHARGE(VALUAT[ON) 19.05 <br /> (952)33]-3924 TOTAL 645.43 <br /> OWNER <br /> WESTLING, THOMAS& LORI <br /> 2640 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which Uiis 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 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 /> suspcnded for a period of 180 days at any time after work has conunenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requestec�in conformance with t e State E3uilding Code.This permit may be <br /> revoke �at any time for ue u . <br /> r 11 i � ilz <br /> i i <br /> A p icant P mi c Si at re Date [ssued By Si ture atc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. <br />