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` � CITY OF ORONO PERMIT NO.: 2011-00106 <br /> , <br /> � � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: 03/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3300 FOX ST <br /> PIN : OS-117-23-44-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. U58 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : GARAGE- DETACHED <br /> ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS <br /> VALUATION : $ 300,000.00 <br /> NOTG: SGPARATE PERMI'CS RGQU[RGD: PLUM131NG,MGCHAN[CAL, SEP��IC,LAWN IRRIGATION, WELL(S"I'ATE). ELECTRICAL <br /> (STA"1'I:) <br /> ADV PLAN RBVIGW 2011-00105$1466.89 <br /> NEW DLTACHED GARAGI:AND GUGST I IOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 2,256.75 <br /> CHOICE WOOD COMPANY STATE SURCHARGE(VALUATION) 150.00 <br /> 3300 GORHAM <br /> ST. LOUIS PARK, MN 55426 TOTAL 2,406.75 <br /> (612)924-0043 <br /> Minnesota State License#: 1532 <br /> OWNER <br /> TRUBECK, WILLIAM &JUDITH <br /> 3300 FOX ST <br /> LONG LAKE, MN �5356- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'hc work for which this permit is issued shall bc performcd according to <br /> the approved plans and specifications,applicablc Ciry approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which rcquires 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime atter��ork has commenced. <br /> The applicant is responsible ibr assuring all requircd inspections are <br /> requested in conformance with the State Ruilding Code.This permit may be <br /> revoked at any time for due cause. <br /> � i 22 i I l � � � <br /> npplicant Permi��� Datc Iss�c 3y Signature Date <br /> SE RA"rE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />