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CITY OF ORONO * 2 0 1 2 - 0 0 7 s 7 �k <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08✓28/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 KELLY AVE <br /> PIN : 21-117-23-23-0026 <br /> LEGAL DESC : REG.LAND SURVEY NO.0891 <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 : $ 5,000.00 <br /> NOTE: IN-KIND DECK REPLACEMENT <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> LOCAL LAKES CONSTRUCTION STATE SURCHARGE(VALUATION) 2.50 <br /> 445 NIAGARA LANE N <br /> PLYMOUTH,MN 55447- TOTAL 120.50 <br /> (612)418-4478 PAID WITH CC# 3044 <br /> Minnesota State License#:BC473986 <br /> OWNER <br /> KAVERMAN-GESELL,DREW GESELL&K <br /> 2755 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 sepazate <br /> pertnits. 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 within 18 days of the date of issuance,or if construction is <br /> suspended for a peri of 180 days at any time after work has commenced. <br /> The applicant is r onsible for assuring all required inspections aze <br /> requested i ance with the State Building Code.This permit may be <br /> revoke ' e for due cause. <br /> , /p? // � �/ �� � <br /> ican ermitee Sigr►ature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />