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f„ CITY OF ORONO * 2 0 1 2 - 0 0 2 4 3 * <br /> * 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 STUBBS BAY RD N <br /> PIN : 32-118-23-34-0014 <br /> LEGAL DESC : UNPLATTED 32 118 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 : $ 12,880.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> ADDITION <br /> ADV.PLAN REVIEW PAID 2012-00242$153.40 <br /> APPLICANT pERMIT FEE SCHEDULE 236.00 <br /> GATES GENERAL CONTRACTORS STATE SURCHARGE(VALUATION) 6.44 <br /> 3500 VICKSBURG LANE N <br /> PLYMOUTH,MN 55447- TOTAL 242.44 <br /> Minnesota State License#:6793 PAID WITH CC# 7533 <br /> OWNER <br /> MALBY,DONALD <br /> 75 STUBBS BAY RD N <br /> MAPLE PLAIN,MN 55359- <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 I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked an time for due cause. <br /> _ y, 9 , ,� <br /> A 1' ant rmitee Signature Date �� " � /�� <br /> Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />