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• CITY OF ORONO _ <br /> 00314 * <br /> 2750 KELLEY PARKWAY * DANE ISSUED: 04/25/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1560 TANGLEWOOD RD <br /> PIN 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 20,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> MASTER BATHROOM REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> PAT FAITH <br /> 4011 GLENDALE DRIVE PLAN REVIEW 220.51 <br /> EXCELSIOR,MN 55331- STATE SURCHARGE(VALUATION) 10.00 <br /> (612)760-0628 TOTAL 569.76 <br /> Minnesota State License#: BC637448 PAID WITH CC# 1606 <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD RD <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 co formance with the State Building Code.This permit may be <br /> revoked at an, til for dl+e taus <br /> Applicant Permitee Signature Date Issue By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED WVE. <br />