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CITY OF ORONO � 0 1 4 - 0 0 2 3 0 * <br /> Y, 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2014 <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 /> PF,RMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 60,000.00 <br /> NOTE: SEPARATE PERMI"I�S REQIiIRF.D: NLUMBING. MI:CHAN1CAl„I:I,I�.CTRICi1l,(S'I�A�ff:) <br /> LOWER LEVI;L FINISI I <br /> APPLICANT PERMIT FEE SCHEDULE 756.75 <br /> STATE SURCHARGE(VALUATION) 30.00 <br /> J WOODKOW, LLC TOTAL 786.75 <br /> 2700 RANCHV[EW LANE N Payment(s) <br /> PLYMOUTH, MN 55447- <br /> (612) 791-8996 CREDIT CARD 4870 786.75 <br /> Minnesota State License#: BUIL-677495 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�hc work for which[his permit is issucd shall be perfomied according to <br /> d�c approvcd plans and specitications,applicablc City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission t�or additional or related work which requires separate <br /> permiU. nll 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 authorircd is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I SO days at any time atter work has commenced. <br /> I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code."I�his permit ma��bc <br /> revoked at any ti� � d a�e- <br /> // <br /> � ? Z� / / <br /> Ap icant Permitee ign ure ate Issued [3y Signature Datc <br />