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CITY OF ORONO * Z 0 1 Z - 0 0 5 2 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-117-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 50,000.00 <br /> NOTE: SENERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> ADV. PLAN REVIEW PAID ON PERMIT#2012-00524 IN THE AMOUNT OF$443.14 <br /> APPLICANT PERMIT FEE SCHEDULE 681.75 <br /> PARTNERS 4 DESIGN STATE SURCHARGE(VALUATION) 25.00 <br /> 275 MARKET STREET#]09 TOTAL 706J5 <br /> MINNEAPOLIS, MN 55402- <br /> (612)927-4444 <br /> Minnesota State License#: BC637776 <br /> OWNER <br /> GRAY,JERRY&CYNTHIA <br /> 880 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 /> 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 id if construction authorized is not <br /> commenced within 180 da�the date of issuance,or ifconstruction is <br /> suspended for a period 1 O�days at any time after work has commenced. <br /> The applicant is respo �bl�f r assuring all required inspections aze <br /> requested in c orm e Hi�h the State Building Code.This permit may be /���> <br /> r e t a ime due ause. � <br /> � �-Q i Z� i � .� `� ` � <<�,-y-�c <c=�� � �"� -� �,, 1� <br /> ppli nt Permitee Sig t re Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />