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CITY OF ORONO * z 0 1 5 - 0 0 2 3 3 * <br /> ' ^ 2750 KELLEY PARKWAY DATE ISSUED: 03/09/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 99 SIXTH AVE N <br /> PIN : 25-118-23-44-0012 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 43,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> BATH REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 636.87 <br /> CHOICE WOOD COMPANY STATE SURCHARGE(VALUATION) 21.50 <br /> 3300 GORHAM TOTAL 658.37 <br /> ST.LOUIS PARK,MN 55426 Payment(s) <br /> (612)924-0043 CREDIT CARD 5477 65837 <br /> Minnesota State License#:BUIL-1532 <br /> OWNER <br /> BRISCOE,MR.&MRS. <br /> 99 SIXTH AVE N <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 dces <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 wi[h whether or not specified herein.This permit will <br /> expire and become null and void if consVuction 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 nformance with the State Building Code.This permit may be <br /> revok d 'me r due cause. <br /> � -9 - 1 �, �,ss _ <br /> Applican e e Signature Date ssue y Signature Date <br />