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. , � <br /> CITY OF ORONO PERMIT NO.: 2009-00690 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �AT�1SS[7E�: 10/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 567 PARK LA <br /> PIN : 06-117-23-41-0045 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT O11 BLOCK 006 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SEPF,RATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELEC'1'RICAL(STATE) <br /> REMODEL KITCHEN.DRYWALL BASEMENT,REPLACE WINDOWS,ETC. <br /> ADVANCED PLAN REVIEW OF$143.81 PD CK#097 <br /> APPLICANT PERM[T FEE SCHEDULE 221.25 <br /> PRESTHOLDT, PERRY <br /> 567 PARK LA STATE SURCHARGE(VALUATION) 6.00 <br /> LONG LAKE,MN 55356- TOTAL 227.25 <br /> OWNER <br /> PRESTHOLDT, PERRY <br /> 567 PARK LA <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 specitications,applicabie 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 a plicant is responsible for assuring all required inspections are <br /> re ues ed in conformance with t State Building Code.This permit may be <br /> r vo d at any time or due cau e. <br /> � � , .� (u i l 3 / �� f� � lO <br /> Applicant Permitee Signature Date ss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />