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,. .� CITY OF ORONO PERMIT NO.: 2011-01499 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRES : 3190 SUSSEX RD <br /> PIN : 04-117-23-32-0007 <br /> LEGAL D SC : FOX BEND <br /> : LOT 001 BLOCK 001 <br /> PERMIT YPE : ADDITION/REMODEL/REPAIR <br /> PROPER Y TYPE : RESIDENTIAL <br /> CONSTR CTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVIT : 434-RESIDENTIAL <br /> VALUAT ON : $ 150,000.00 <br /> NOTE: SE ERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> NEW KITC EN AND LAUNDRY/MUD ROOM <br /> APPLICANT pERMIT FEE SCHEDULE 1,356.75 <br /> M A PETE SON DESIGN BUILD INC. STATE SURCHARGE(VALUATION) 75.00 <br /> 6161 WOO ALE AVE S TOTAL 1,431.75 <br /> EDINA, 55424 <br /> (952)925- 55 <br /> Minnesota tate License#: 6704 <br /> OWNER <br /> KENNEY, OHN&MARY <br /> 3190 SUSS X RD <br /> LONG LA ,MN 55356- <br /> AG EEMENT AND SWORN STATEMENT <br /> The work for hich this permit is issued shali be performed according to <br /> the approved lans and specifications,applicable City approvals,and the <br /> State Buildin Code. 1'his permit is for only the work described and does <br /> not grant pe ission for additional or related work which requires separate <br /> permits. All rovisions of laws and ordinances goveming this type of work <br /> shall be com ied with whether or not specified herein.This permit will <br /> expire and be ome null and void if construction authorized is not <br /> commenced ithin 180 days of the date of issuance,or if construction is <br /> suspended fo a period of 180 days at any time after work has commenced. <br /> The applican is responsible for assuring all required inspections aze <br /> requested in nformance with the State Building Code.This permit may be <br /> revoked at an tim r du se. <br /> ��� 6� � �� /02� J�l// <br /> Ap cant P rmitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />