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` �. �, CITY OF ORONO PERMIT NO.: 2011-00864 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 08/15/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1925 CONCORD[A ST <br /> PIN : 18-117-23-14-0014 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 013 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S[D1NG <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 12,500.00 <br /> NOTG: REFACE SOFFITS&TEAR OFF&REPLACE SIDING WITH HARDI <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> JCH CONSTRUCTION LLC STATE SURCHARGE(VALUAT[ON) 6.25 <br /> 3005 KAGEN AVE.NE TOTAL 242.25 <br /> ST MICHAEL, MN 55376- <br /> (612)702-2688 <br /> Minnesota State License#: 20638871 <br /> OWNER <br /> KONAT, THOMAS <br /> 1925 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 tor additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or notspecified 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 atter work has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permit may be <br /> revoked at any ti for due cause. <br /> �' Cil /$ l �! <br /> i i <br /> App 'ca ermitee Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A . <br />