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CITY OF ORONO PERMIT NO.: 2011-00284 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssUED: OS/04/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1125 SPRING HILL RD <br /> PIN : 26-118-23-43-0004 <br /> LEGAL DESC : LJNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 61,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REMODEL <br /> ADV.PLAN REVIEW PD 5/3/11$496.76 PERMIT 2011-00283 <br /> � <br /> APPLICANT pERMIT FEE SCHEDULE 764.25 <br /> KYLE HUNT&PARTNERS INC. STATE SURCHARGE(VALUATION) 30.50 <br /> 18324 MINNETONKA BLVD <br /> DEEPHAVEN,MN 55391- TOTAL 794.75 <br /> (952)476-5999 <br /> Minnesota State License#:BC- 1967 <br /> OWNER <br /> PIPER,ADDISON&CINDY <br /> ` 1125 SPRING HILL RD <br /> WAYZATA,MN 55391 <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 provision of laws and ordinances governing this type of work <br /> '•-shall be com ied with hether or not specified herein.This permit will <br /> `e�ipire and b ome nu I and void if construction authorized is not <br /> commenced ithin 1 ays of the date of issuance,or if construction is <br /> suspen d fo a perio f 180 days at any time after work has commenced. <br /> The ap 'cant s respo s ble for assuring all required inspections are <br /> r uest in c form w�th the State Building Code.This permit may be <br /> re ked an ime fo e ause. <br /> � / / / / <br /> >: t1.�i Pe 'tee Signature D te Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />