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`� CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * z 0 1 7 - 0 0 7 8 3 * <br /> DATE ISSUED: 07/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 35 CRYSTAL CREEK RD <br /> PIN : 33-118-23-33-0002 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 2,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STAT'E) <br /> GARAGE TRUSS ALTERATIONS/REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> KOEHLER, STEVEN&ANNE PLAN REVIEW 6038 <br /> 35 CRYSTAL CREEK RD STATE SURCHARGE(VALUATION) 125 <br /> LONG LAKE, MN 55356 TOTAL 154.52 <br /> Payment(s) <br /> CHECK 8337 154.52 <br /> OWNER <br /> KOEHLER, STEVEN&ANNE <br /> 35 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 separate <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 1 SO days of the date of issuance,or if construction is <br /> saspended for a period of I 80 days at any time after work has commenced. <br /> "I'he 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 time for due cause. <br /> .----�-�� � [ � � � � 7�/ ,Z <br /> ppl' t ' e ignature�� Date ssued Signature Date <br />