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� CITY OF ORONO * Z 0 1 6 - 0 0 9 3 4 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-118-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 3,800.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL, ELECTRICAL(STATE) <br /> INTERIOR BATH REMODEL ONLY <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> PLAN REVIEW 70.45 <br /> METRO CONSTRUCTION STATE SURCHARGE(VALUATION) 1.90 <br /> 3307 BRUNSWICK AVE N <br /> CRYSTAL, MN 55427- TOTAL 180.73 <br /> (612)207-4679 Payment(s) <br /> Minnesota State License#: BUIL-681358 CREDIT CARD 7494 180.73 <br /> OWNER <br /> Orono Woodlands <br /> 2100 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORIY STATEMEIVT <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 wi[h whether or no[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 responsible for ring all required inspections are <br /> requested in conformance with State Building Code.This permit may be <br /> revoked at any ime fo due c e. _ �� <br /> t <br /> � <br /> �j ' ��-�.� `����� i ; <br /> Appli n erm� ign ure ate Issu y Signature Date P�r <br />