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� CITY OF ORONO * z 0 1 7 - 0 0 1 9 8 * <br /> , ' 2750 KELLEY PARKWAY DATE ISSUED: 03/15/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1480 SIXTH AVE N <br /> PIN : 26-118-23-32-0008 <br /> LEGAL DESC : DOUGLAS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SHED> 120 SQ FT <br /> ACTIVITY : 328-0THER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 5,000.00 <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY A FINAL INSPECITON MUST BE COMPLETED. INITIAL�� <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> STATE SURCHARGE(VALUATION) 2.50 <br /> GULBRANDSON, DAN&ERICKA TOTAL 126.37 <br /> 1480 SIXTH AVE N <br /> LONG LAKE, MN 55356- Payment(s) <br /> CHECK 8208 126.37 <br /> OWNER <br /> GULBRANDSON, DAN &ERICKA <br /> 1480 SIXTH AVE N <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 afrer 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 /> 4� � �-�I/ �Z � � /��/ �� <br /> Applicant Pe itee Signature D te Issued By gnature Date <br />