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� � CITY OF ORONO * 2 0 1 3 - P1 0 9 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013 <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 : $ 60,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> APPLICANT pERMIT FEE SCHEDULE 756.75 <br /> ANDY OSTREIM PLAN REVIEW 491.89 <br /> 275 MARKET STREET# 109 <br /> MINNEAPOLIS, MN 55405- STATE SURCHARGE(VALUATION) 30.00 <br /> (612)845-0499 TOTAL 1,278.64 <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 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 consuuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> !/' �'L--- �� / � /�� � � <br /> Applicant Permitee Signature Date Issue y igna ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />