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k � � <br /> ' CITY OF ORONO PERMIT NO.: 20��-oons <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 08/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4195 HIGHWOOD RD <br /> PIN : 07-117-23-44-0022 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <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 : $ 45,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> AS BUILT SURVEY REQUIRED:�� <br /> APPLICANT pERMIT FEE SCHEDULE 628.00 <br /> PRECISION DECKS STATE SURCHARGE(VALUATION) 22.50 <br /> 1120 COVE CIRCLE TOTAL 650.50 <br /> MINNETRISTA,MN 55364- <br /> (763)22&4429 <br /> Minnesota State License#:20583025 <br /> OWNER <br /> SMITH,DOUGLAS&ROBAN <br /> 4195 HIGHWOOD RD. <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit 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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �-- !_ ____- � � � �� r� �'i��l / <br /> A icant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />