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CITY OF ORONO * Z 0 1 3 - 0 0 6 9 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2013 ' ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 325 HOLLANDER RD PIN : 25-118-23-43-0024 LEGAL DESC : REG.LAND SURVEY NO. 128i : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMOD�L/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 31,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) INTERIOR REMODEL-KITCHEN AND BATH APPLICANT pERMIT FEE SCHEDULE 477.50 PAQUETTE CONSTRUCTION PLAN REVIEW 31038 3730 SHADY OAK RD STATE SURCHARGE(VALUATION) 15.50 MINNETONKA,MN 55305- (� TOTAL 803.38 Minnesota State License#: 3225 PAID WITH CC# 5784 OWNER GOLINVAUX,MR.&MRS. 325 HOLLANDER RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an ti r ue cau . i i1.� i i Applicant Pe itee S'g a ur Date Issued By S'g ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.