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CITY OF ORONO I I I 1111111111111111111011111110111111111111 <br /> ' 2750 KELLEY PARKWAY * 012 - 00641 <br /> DATE ISSUED: 07/26/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS A : 1030 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0012 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,200.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> INSTALL OUTLETS/LIGHTING-DRYWALL EXERCISE ROOM <br /> APPLICANT PERMIT FEE SCHEDULE 47.75 <br /> RESIDENTIAL SERVICES INC PLAN REVIEW 31.04 <br /> 3941 COLGATE AVENUE <br /> MINNETONKA, MN 55345- STATE SURCHARGE(VALUATION) 0.60 <br /> Minnesota State License#:20224948 TOTAL 79.39 <br /> PAID WITH CC# 9877 <br /> OWNER <br /> WALLANDER,RAPHAEL&LAURA <br /> 1030 WILLOW VIEW DR <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 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 responsible for assuring all required inspections are <br /> reques n conformance with the State Building Code.This permit may be <br /> revs ed any time f r dpe cause. <br /> f��`Y( 7 / 2Cr/ (Z 7 / 2_4/ / <br /> Applicant Permitee Si ture Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />