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� CITYOFORONO * z014 - 00905 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08✓25/2014 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2650 KELLY AVE <br /> pIN ; 20-117-23-14-0005 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> REMODEL 3 DOORS,3 HEADERS,DRYWALL AND FLOORING <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> PLAN REVIEW 143.81 <br /> EDGEWORK BUILDERS INC STATE SURCHARGE(VALUATION) 6.00 <br /> 7250 HAZELTINE BLVD <br /> EXCELSIOR,MN 55331- TOTAL 371.06 � <br /> (612)32&0944 Payment(s) <br /> Minnesota State License#:BUIL-3681 CREDIT CARD 3889 371.06 <br /> OWNER <br /> WENDLING, STEVEN&DOREE <br /> 2650 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 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 atl required inspections aze <br /> requested in wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �' ��� � �� � �,2��/ . <br /> Applicant Permitee Signature Da Issued By Sigr►ature Date <br />