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, , CITY OF ORONO * Z 0 1 7 - 0 0 9 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2450 SIXTH AVE N <br /> PIN : 28-118-23-41-0003 <br /> LEGAL DESC : WILLOW RUN <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 : $ 22,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: FIREPLACE,ELECTRICAL(STATE) <br /> ALTERATION <br /> APPLICANT PERMIT FEE SCHEDULE 387.20 <br /> TAYLOR,JEFFREY PLAN REVIEW 251.68 <br /> 2450 SIXTH AVE N STATE SURCHARGE(VALUATION) 11.00 <br /> LONG LAKE,MN 55356- TOTAL 649.88 <br /> Payment(s) <br /> CHECK 4030 649.88 <br /> OWNER <br /> TAYLOR,JEFFREY <br /> 2450 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 after 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 /> i <br /> � ,/ ` �G �� � � 1�� � � <br /> Applicant P itee Sign ture Date Issue y Signature Date <br />