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, " CITY OF ORONO * 2 0 1 s - 0 1 0 s 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 285 LEAF ST <br /> PIN : OS-117-23-14-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 6,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 13936 <br /> PLAN REVIEW 90.58 <br /> PARSICON CONSTRUCTION STATE SURCHARGE(VALUATION) 3.00 <br /> 285 LEAF STREET <br /> LONG LAKE,MN 55356- TOTAL 232.94 <br /> Payment(s) <br /> CREDIT CARD 1839 232.94 <br /> OWNER <br /> DAIVARI,KHOSROW <br /> 285 LEAF ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORl�1 STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additionai 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 re uired inspections aze <br /> requested in conformance with the State Bu' ing Code.This permit may be <br /> revoked at any time for due cause. � <br /> l� �� �- fsz � / <br /> % �� ��-� � �/ <br /> Applicant Pe ee Signature Date Issued By Signature Date <br />