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1 � <br /> CITY OF ORONO 1111111111111111111111 <br /> * 2 0 1 3 - <br /> 0 0 Z 7 S <br /> 2750 KELLEY PARKWAY DATE ISSUED: 0S/08/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4440 FOREST LAKE LANDING <br /> PIN 07-117-23-24-0017 <br /> LEGAL DESC TONKAVIEW GARDENS <br /> LOT 012 BLOCK 000 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 25,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> CHURCH,JOSEPH PLAN REVIEW 268.45 <br /> 6175 STONE COURT <br /> INDEPENDENCE,MN 55359- STATE SURCHARGE(VALUATION) 12.50 <br /> (612)308-7482 TOTAL 693.95 <br /> OWNER <br /> CHURCH,JOSEPH <br /> 6175 STONE COURT <br /> INDEPENDENCE, MN 55359- <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 /> 51 <br /> A plicant Permitee Signature Date ISsued7By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />