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CITY OF ORONO PERMIT NO.: 2010-00839 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3855 BAYSIDE RD <br /> PIN : OS-117-23-23-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 063 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 3,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: GLECTRICAL(S7'A'CE) <br /> REYLACF,DECK <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> THIESSE, JOHN <br /> 3855 BAYSIDE RD PLAN REV[EW 57.53 <br /> LONG LAKE, MN 55356- STATE SURCHARGE(VALUATION) 5.00 <br /> TOTAL 151.03 <br /> OWNER <br /> TH[ESSE,JOHN <br /> 3855 BAYS[DE RD <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 pcnnission 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}YAth the State Building Code.This permit may bc <br /> revoked at�n f ic f �tie cause. <br /> ; � � � <br /> C C:�`-: �: <br /> ��� �'�-` ` "2�L.E��.ij� � � � �U � �/� �G' <br /> ApplicantPermiteeSignature Date ��`�-� L��nC-�-�� � � <br /> , Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />