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I 11 111 1111111 111111 11 <br /> CITYr OF ORONO * 20 1 3 - 00300 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/03/2013 <br /> ORONO, MN 55356- <br /> (952)249-4601) FAX: (952) 249-4616 <br /> ADDRESS : 335 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-24-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 013 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,006.73 <br /> NOTE: WATER DAMAGE RESTORATION <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> SUPERIOR CONSTRUCTION SERVICE PLAN REVIEW 86.29 <br /> 9702 85TH <br /> MN 55369- <br /> AVENUE N. <br /> MAPLE GROVE, STATE SURCHARGE(VALUATION) 2.50 <br /> (763)424-9434 TOTAL 221.54 <br /> Minnesota State License#: 7231 <br /> OWNER <br /> RYERSE,MARY <br /> 335 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356- <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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforman -with the State Building Code.This permit may le <br /> revoked at any ti •- o . e cause. <br /> .-/ 3 / /3 f' <br /> ''tAPP1' y. itee Signature Date ssuey:y Sgnature <br /> Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />