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CITY OF ORONO * z 0 1 6 - 0 1 5 5 S * <br /> t � 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 OXFORD RD <br /> PIN : OS-117-23-41-0023 <br /> LEGAL DESC : STIELOWS 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 70,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> CONVERT OFFICE INTO MASTER SUITE <br /> APPLICANT PERMIT FEE SCHEDULE 873.52 <br /> GORDON JAMES CONSTRUCTION PLAN REV[EW 567.79 <br /> 5159 MAIN STREET E STATE SURCHARGE(VALUATION) 35.00 <br /> P.O. BOX 306 TOTAL 1,476.31 <br /> MAPLE PLAIN, MN 55359- Payment(s) <br /> (763)479-3117 CHECK 13407 1,476.31 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> WITHROW,JOHN&JESSICA <br /> 425 OXFORD RD <br /> LONG LAKE, MN 55356- <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 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 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 /> revoked at any time for due cause. <br /> / <br /> 1 L'�'1'�1� �� � f �/ ��S/)b <br /> p�' ant Permite ignature Date Issued By S' ture Date <br />