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CITY OF ORONO * 2 0 1 2 - 0 1 z 1 6 * <br /> � 2750 KELLEY PARKWAY llATE ISSUED: 12/03/2012 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 BROWN RD S <br /> PIN : 03-117-23-21-0001 <br /> LEGAL DESC : UNPLATTED 03 117 23 <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 : $ 4,000.00 <br /> NOTE: SEPERATE PERMITS MAY BE REQUIRED: PLUMBING,MECHANICAL, FIREPLACG,ELECTRICAL(STATE) <br /> RE-SHEETROCK AND RE-INSULATE FAMILY ROOM-WATER DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 10325 <br /> ASSET MANAGEMENT AND RESTORATION STATE SURCHARGE(VALUATION) 2.00 <br /> 161 1 PULASKI ROAD TOTAL 10525 <br /> BUFFALO, MN 55313- <br /> (612)685-8005 <br /> OWNER <br /> POWERS, SUSAN <br /> 25 BROWN RD S <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 /> no[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 /> /� �� <br /> _�/V l ��l�vL� <br /> App nt Permitee Signat e Date � � � � � �" <br /> ssue y Signature Date <br /> SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />