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CITY OF ORONO PERMIT NO.: 2011-00435 <br /> � 2750 KELLEY PARKWAY <br /> ' � ORONO, MN 55356- �ATE �SSUEn: 06/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 865 PARTENWOOD RD <br /> PIN : OS-117-23-43-0002 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 001 BLOCK 002 <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: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> REPAIR,REBUILDING 2 BALCONIES <br /> APPLICANT PERM[T FEE SCHEDULE 221.25 <br /> PLEKKENPOL BUILDERS PLAN REVIEW 143.81 <br /> 401 E 78TH ST <br /> BLOOMINGTON, MN 55420- STATE SURCHARGE(VALUATION) 6.00 <br /> (952)888-2225 TOTAL 371.06 <br /> Minnesota State License#: 1797 <br /> OWNER <br /> PICCARD ET AL TRUSTEE,JANE E <br /> 865 PARTENWOOD 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 /> permi[s. 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 wark has commenced. <br /> The applicant is responsible for assuring all required inspections are � <br /> requested in conY ance with the State Building Code.This permit may be � <br /> revoke t any ' r due use. R <br /> �- �,e� �� C��C e e� <br /> � � , a3 , �� ��� � <br /> Applicant Per � ee Signature Date � �� �' '// <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />