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� e <br /> CITY OF ORONO * z 0 1 3 - 0 0 8 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1360 NORTH ARM DR <br /> PIN : 07-117-23-41-0085 <br /> LEGAL DESC : VOLK JOHNSTON ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 35,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL, ELECTRICAL(STATE) <br /> ADDITION <br /> ESCROW WILL BE REFUNDED AFTER AS-BUILT SURVEY HAS BEEN SUBMITTED AND APPROVED. INITIAL: <br /> APPLICANT pERMIT FEE SCHEDULE 520.50 <br /> GAMBONE&WENDY JOHNSON,JAMES STATE SURCHARGE(VALUATION) 17.50 <br /> 1360 NORTH ARM DR TOTAL 538.00 <br /> MOLTND,MN 55364- <br /> OWNER <br /> GAMBONE&WENDY JOHNSON,JAMES <br /> 1360 NORTH ARM DR <br /> MOLJND, MN 55364- <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 all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> r time r due use. <br /> o� y � i3 � � <br /> Applicant Pe ite ' n ure Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />