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� � <br /> CITY OF ORONO * 2 0 1 6 — 0 0 9 5 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2765 KELLY AVE <br /> PIN : 21-117-23-23-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.344 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,000.00 <br /> NOTE: OVERLAY OF AN EXISTING ENTRYWAY CONCRETE STEP UNIT. <br /> APPLICANT PERMIT FEE SCHEDULE 43.30 <br /> PLAN REVIEW 28.15 <br /> HOOPS,DEBORAH STATE SURCHARGE(VALUATION) 0.50 <br /> 2765 KELLY AVE <br /> EXCELSIOR,MN 55331- TOTAL 71.95 <br /> Payment(s) <br /> CHECK 5079 71.95 <br /> OWNER <br /> HOOPS,DEBORAH <br /> 2765 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 tt►e <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 separate <br /> permiu. 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 a8er 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 t' e for due cause. � <br /> � 9-a- � �, �,/,h <br /> Appl�cant Permitee Signa e Date Issued B ignature Date <br />