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CITY OF ORONO PERMIT NO.: 2oiaoioa2 <br /> ^ 2750 KELLEY PARKWAY <br /> f ORONO, MN 55356- DATE ISSUEn: 1 U17/2010 <br /> 952 249-4600 FAX: 952 249-4616 , <br /> ADDRESS : 1980 SIXTH AVE N <br /> � PIN : 27-118-23-42-0004 <br /> LEGAL DESC : LJNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 100,000.00 . <br /> NOTE: ADVANCED PLAN REVIEW WAS PAID WITH VISA 4583-IN THE AMOUNT OF$686.89 BY CONTRACTOR <br /> ADDITONAL PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,ELECTRICAL(STATE) <br /> APPLICANT pERMIT FEE SCHEDULE 1,056.75 <br /> BRIAN STEPHENSON CONST. INC. STATE SURCHARGE(VALUATION) 50.00 <br /> 2025 PAWNEE RD TOTAL 1,106.75 <br /> MEDINA,MN <br /> (612)889-0477 PAID WITH CC# 4583 <br /> Minnesota State License#:20222459 <br /> OWNER <br /> PIERPONT,JUDY&JIM <br /> 1980 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sha(1 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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is re onsible for assuring all required inspections aze <br /> requeste � con an e with t State Building Code.This permit may be <br /> revoke at any ti e o � <br /> ' � � 0 � � <br /> p ' nt Permitee Sign t re Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A E. <br />