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CITY OF ORONO <br /> * 2014 - 00419 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014 <br /> ORONO, MN 55356- <br /> (952) 2494600 FAX: (952) 249-4616 <br /> ADDRESS 295 TONKA AVE <br /> PIIS 05-117-23-13-0028 <br /> LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 1,800.00 <br /> NOTE: FOUNDATION REPAIR <br /> APPLICANT PERMIT FEE SCHEDULE 67.25 <br /> STATE SURCHARGE(VALUATION) 0.90 <br /> JESSE TREBIL FOUNDATION SYS INC. MAIL-IN FEE 2.00 <br /> ' 60335 U S HWY 12 <br /> LITCHFIELD,MN 56387- TOTAL 70.15 <br /> (320)974-8729 Payment(s) <br /> Minnesota State License#: BUIL-20446489 CREDIT CARD 3188 70.15 <br /> OWNER <br /> FRANK,CORY&SARAH <br /> 295 TONKA AVE <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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />