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CITY OF ORONO * 2 0 1 4 - 0 0 4 5 0 * <br /> �' 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2014 <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 /> : I,OT 004 E3LOCK 001 <br /> PERMIT TYPE : ADDITION / REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODF..L/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 250,000.00 <br /> NO"1'E: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL, FIRF_PLACE, ELECTRICAL(STATE) <br /> POOL CABANA <br /> PRIOR TO LEA F C c�J EY AN AS-I3UII,T SURVEY AND HARDCOVER CALCULATION MUST BE SUBMITTED AND <br /> APPROV _ n <br /> ����-C <br /> AVPLICANT PERMIT FEE SCHEDULE 1,956.75 <br /> STATE SURCHARGE(VALUATION) 125.00 <br /> J WOODROW, LLC "I'OTAL 2,081.75 <br /> 2700 RANCHV[EW LANE N <br /> PLYMOUTH, MN 55447- Payment(s) <br /> (612)791-8996 CREDIT CARD 4870 2,081.75 <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 /> The work for which this permit is issucd shall be perfonned according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is fbr only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. 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 /> e xpire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construclion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requestcd in conformance with the State Building Code.This permit may be <br /> revoked at am�time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued v Si n ure Date <br />