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CITY OF ORONO PERMIT NO.: 2oia000as <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE�SSUEn: OU29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2700 KELLY AVE <br /> PIN : 21-117-23-23-0033 <br /> LEGAL DESC : VERN-MAR MANOR <br /> : LOT 008 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: PLUMBING.MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODLE WITH SOME WINDOW AND DOOR REPLACEMENTS. <br /> APPLICANT pERMIT FEE SCHEDULE 628.00 <br /> MIKE NORTH CONSTRUCTION PLAN REVIEW 408.20 <br /> 574A NORTH BROWN ROAD <br /> LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 22.50 <br /> (612)246-0027 TOTAL 1,058.70 <br /> Minnesota State License#:20636890 PAID WITH CC# 9784 <br /> OWNER <br /> JOHNSTON,ALEX <br /> 2700 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 sepazate <br /> permits. 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 consVuction 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 conf ance w�h the Stat uilding Code.This permit may be <br /> revoke at any ' e for caus <br /> � i /� � ,� �, /v <br /> pl�cant P ite Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />