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r <br /> � CITY OF ORONO PERMIT NO.: 2011-01269 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 10/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3405 HIGH LA <br /> PIN : OS-117-23-11-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0843 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 90,444.00 <br /> NOTG: SL'PGRATG PERMITS REQUIRED: ELECTRICAL(STATE) <br /> WINDOWS, SIDING,ROOF AND RAISG A ROOF SLIGHTLY TO PREVENT ICF,DAMS <br /> APPLICANT PERMIT FEE SCHEDULE 989.25 <br /> KRECH EXTERIORS STATE SURCHARGE(VALUATION) 45.22 <br /> 5858 BLACKSHIRE PATH TOTAL 1,034.47 <br /> INVER GROVE HE[GHTS, MN 55076- <br /> Minnesota State License#:20583274 <br /> OWNER <br /> REILLY, KEVIN& DENISE <br /> 3405 HIGH LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT 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 I3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. 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 time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revoked at a �ti e f due c se. <br /> � l a� l �L1.�J��_ l(� Z(l / <br /> pplicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />