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CITY OF ORONO * 2 0 1 2 - 0 1 z 7 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OUO2/2013 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 NORTH ARM DR <br /> PIN : 07-117-23-41-0013 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 001 BLOCK 004 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> REMODEL <br /> ADV.PLAN REVIEW COLLECTED$67.11 2012-01269 <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> THARALDSON,BREVIK STATE SURCHARGE(VALUATION) 2.00 <br /> 1205 NORTH ARM DR <br /> MOUND,MN 55364- TOTAL 105.25 <br /> OWNER <br /> THARALDSON,BREVIK <br /> 1205 NORTH ARM DR <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 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 within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> - / / 2. / /3 / / <br /> ermitee Signature Date Issued By Si ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />