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' CITY OF ORONO <br /> * 2 0 1 3 - 0 0 1 7 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4010 BAYSIDE RD <br /> PIN : 06-117-23-11-0006 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,400.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> REPAIR WATER DAMAGE-ROOF <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> MAVERICK CONSTRUCTION STATE SURCHARGE(VALUATION) 2.20 <br /> ll227 RIVER ROAD NE <br /> HANOVER,MN 55341 TOTAL 120.20 <br /> (763)498-7401 PAID WITH CC# 1762 <br /> Minnesota State License#: BC 005572 <br /> OWNER <br /> LEVANG, CURTIS&ELIZABETH <br /> 4010 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifica[ions,applicable City approvals,and the <br /> State Building Code. This permit is fbr 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 I 80 days at any time afrer wark 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 /> �--! �/.Z( l i � i 2l � <br /> Applicant�itee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />