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� � CITY OF ORONO * z 0 1 2 - 0 PJ 4 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4051 HIGHWOOD RD <br /> PIIY : 07-117-23-44-0076 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1420 <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 /> VALUATIOIV : $ 12,000.00 <br /> NOTE: SEPERATE PEKMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> IN KIND DECK REPLACEMENT-USING EXIISTING FOOTINGS <br /> VALUE CHANGED FROM$30,000 TO$12,000-OVERPAYMENT OF$159.58 THAT WAS ORIGINALLY PAID FOR ADVANCED PLAN <br /> REVIEW WILL I3E DEDUCTED FROM BALANCE DUE ON PERMIT FEE. <br /> APPLICANT PERMIT FEE SCHEDULE 61.67 <br /> CONCEPT LANDSCAPING STATE SURCHARGE(VALUATION) 6.00 <br /> 3153 PRIEST LANE TOTAL 67.67 <br /> MOUND, MN 55364 <br /> 0 <br /> OWNER <br /> ROUSE, WILLIAM &ANITA <br /> 4051 HIGHWOOD ROAD <br /> MOUND, MN 55364 <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 additional or related work which requires separa[e <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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in con ance with th State uilding Code.This permit may be <br /> revoked.at'�ny ti for d ca <br /> / <br /> �o / Lo / / Z �fi(.�ai( l l <br /> (/ � <br /> Applica Permitee Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOV . <br />