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! � <br /> CITY OF ORONO * 2 0 1 z - 0 0 9 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3125 FOX ST <br /> PIN : 04-117-23-33-0011 <br /> LEGAL DESC : WEST FOX <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 14,550.00 <br /> NOTE: Sk;YERATE VERMITS REQUIRGD: ELECTRICAL(STATE) <br /> INTERIOR REMODEI,-NEW CAI3INETS,FIREPLACF,SURROUND AND MANTEL. ADDING P'ALSE QEAM AND LIGHTING. <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> LIND NELSON CONST INC. PLAN REVIEW 172.58 <br /> 3794 299TH AVE NW <br /> ISANTI, MN 55040 STATE SURCHARGE(VALUATION) 7.28 <br /> (612)282-3006 TOTAL 445.36 <br /> Minnesota State License#: BC384640 <br /> OWNER <br /> DEVRIES, TIMOTHY&GAYLE <br /> 3125 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEIYT <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[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <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 I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in co ormance with the State Building Code.'1'his permit may be <br /> re d �time for due cause. <br /> �r� s�c. �l l � Z- � /7�l�--- <br /> pl' ant Permilee Signature Date Issu 13 Si nature Datc � <br /> Y� g <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />