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, CITY OF ORONO * 2 PJ 1 2 — 0 0 7 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2850 LITTLE ORCHARD WAY <br /> PIN : 09-117-23-21-0007 <br /> LEGAL DESC : LITTLE ORCHARD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> C�i�ty of Orono <br /> ACTIVITY : 434-RESIDENT[AL 2750 Kelley Parkway <br /> VALUAT[ON : $ 15,000.00 �n° MN 5535f' '352 `49-46��3 <br /> NO"I�E: SEPERATE PERMITS REQUIRED: PLUMBING,MGCHANICAL,E f�Ceipt No: 3.007439 Aug 15, �U12 <br /> BA"1'HROOM REMODEL 1ay Swenson <br /> ADV.PLAN REVIEW COLLECTED 2012-00782$172.58 Previou5 Balance: .OG <br /> RerOits <br /> 2012-�783 P850 Little 265.50 <br /> Orchard Way <br /> 101-3251p <br /> building Per�ait� <br /> Per�its <br /> PU12-00783 P850 Little 7.5U <br /> Orchard Way <br /> iGi-208(t2 <br /> Due to govts-5tate <br /> Total: � �73.04 <br /> Check �~�--�-- <br /> Check No: 4344 �73.OG <br /> Payor: <br /> Jay SNenson <br /> Tatal Applied: c?s'.QG <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> SWENSON,JAY STATE SURCHARGE(VALUATION) 7.50 <br /> 2850 LITTLE ORCHARD WAY <br /> WAYZATA, MN 55391- TOTAL 273.00 <br /> OW1vER <br /> SWENSON,JAY <br /> 2850 LITTLE ORCHARD WAY <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork 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 governing this type of work <br /> shall be compied with whether or not specified herein.'Chis permit will <br /> expire and become null and void if eonstruction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> re u ed in conformance with the S[ate Quilding Code.This permit may be <br /> evoked at time for duc cause. <br /> <20 <br /> � �� �� �" i �/ � ' � � - /S -i <br /> . �1�-_.� c �Tvv1 �<t� <br /> Applicant rmrte Signature Date Issued By Sign turc Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />