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CITY OF ORONO * Z 0 1 3 - 0 0 2 1 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/15/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> AIA DRESS : 4655 TONKAVIEW LA <br /> PIN : 07-117-23-32-0064 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1036 <br /> LOT MB BLOCK MB <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 60,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> BASEMENT FINISH-REMODEL MUDROOM&ADD WINDOW <br /> ADV PLAN REVIEW COLLECTED 4/4/13 2013-00213 <br /> APPLICANT PERMIT FEE SCHEDULE 756.75 <br /> COLFAX COMPANIES,INC. STATE SURCHARGE(VALUATION) 30.00 <br /> 206 MINNETONKA AVE S <br /> WAYZATA,MN 55391- TOTAL 786.75 <br /> (952)7464380 <br /> Minnesota State License#:BC636394 <br /> OWNER <br /> LICURSI,ANGELO&RACHEL <br /> 4655 TONKAVIEW LA <br /> MOUND,MN 55364- <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 constriction is <br /> suspended fora 'od of 180 days at any time after work has commenced. <br /> The app icant is re ponsible for assuring all required inspections are <br /> reques i cont rmance with the State Building Code.This permit may be <br /> revoke y f e for due cause. <br /> /S <br /> App cant ermitee Signature Date Issued By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />