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� � CITYOFORONO * 20 15 - PJ0399 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3630 EILEEN ST <br /> p�� : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 55,642.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,ELECTRICAL(STATE) <br /> 12 X 12 ADDIT[ON <br /> NOTE: PR[OR TO RELEASE OF ESCROW MONEY,AN AS-BUIOTL SURVEY MUST BE SUBMITTED AND APPROVED. THE AS-BUILT <br /> SURVEY SHOULD REFLECT COMP���OF ADDITION AND LANDSCAPING AND FINAL GRADING AROUND DETACHED <br /> ACCESSORY STRUCTURE. INIT: S, <br /> APPLICANT PERMIT FEE SCHEDULE 763.12 <br /> STATE SURCHARGE(VALUATION) 27.82 <br /> SUSSEL CORPORATION TOTAL 790.94 <br /> 654 TRANSFER ROAD Payment(s) <br /> 16B CREDIT CARD 0873 790.94 <br /> ST. PAUL, MN 55114- <br /> (651)645-0331 <br /> Minnesota State License#: BUIL-BC001934 <br /> OWNER <br /> MCCUTCHEON, MARK&JAYME <br /> 3630 EILEEN ST <br /> MAPLE PLAIN, 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 addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 wi[hin l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �`" �� <br /> .��!�/ � <br /> �. ' !�I� �� �-C l� �'l l� <br /> Applicant Permitee Signature Da e Issued Signature Date <br />