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� # � CITY OF ORONO * Z 0 1 2 - 0 B 9 6 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3350 FOX ST <br /> PIN : OS-117-23-44-0008 <br /> LEGAL DESC : FULLERTON ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S[DING <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 35,000.00 <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 520.50 <br /> STEINER& KOPPELMAN STATG SURCHARGE(VALUATION) ]7.50 <br /> 18340 MINNETONKA BLVD <br /> DEEPHAVEN, MN 55391- TOTAL 538.00 <br /> (612)473-5435 PAID WITH CC# 1072 <br /> Minnesota State License#: 3721 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 FOX ST <br /> LONG LAKE, MN 55356- <br /> ACREEMENT AND SWORN STATEMENT <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 Building Code. This pennit 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 specified herein.This permit will <br /> expire and become null and void if consVuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> fhe applicant is responsible for assuring all required inspections arc <br /> requested� onforma with[he State l3uildin�Code.This permit may be <br /> revo at an ti� o duc cause. <br /> � l�� l 1�. l i <br /> A licantPermitee Signature Dale [ssued 13y Si ature Dale <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />