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CITY OF ORONO * z 0 1 Z — fd 1 2 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU07/2013 <br /> ' ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1245 LAKEVIEW AVE <br /> PIN : 10-117-23-24-0024 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 39,750.00 <br /> NO"1'E: SEPERATE PERMITS REQUIRED: PLUMBING,MECHnNICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 574.25 <br /> CRAWFORD BROTHERS CONSTRUCTION PLAN REVIEW 373.26 <br /> 1204 E 132ND STREET <br /> BURNSVILLE, MN 55337- STATE SURCHARGE(VALUATION) 19.88 <br /> (612)790-0963 TOTAL 967.39 <br /> Minnesota State License#: BC589293 <br /> OWNER <br /> NORD, KEITH S <br /> 1245 LAKEV[EW AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned 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 /> pennits. All provisions of laws and ordinances governing this rype 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 iCconstruction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is�esponsible for assuring all required inspections are <br /> requested in conformance with the State Buildin� ode.This permit may be <br /> revoked at any�ie for due cau� <br /> ,,�,� / � � > .� <br /> , l l�%�i��`� l l <br /> A li n �P mitee nature Date Issued By ' nature e <br /> � <br /> ARATE PERMITS REQU(RED FOR WORK OTHER HAN DESCRIBED ABO <br />