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t CITY OF ORONO PERMIT NO.: 2011-00987 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/31/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 WEAR LA <br /> PIN : 04-117-23-21-0018 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,500.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> SCREEN PORCH AND DECK <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> VIETH, PAUL&JILL PLAN REVIEW 57.53 <br /> 80 WEAR LA <br /> LONG LAKE,MN 55356- STATE SURCHARGE(VALUATION) 1.25 <br /> TOTAL 147.28 <br /> PAID WITH CC# 6978 <br /> OWNER <br /> VIETH,PAUL&JILL <br /> 80 WEAR LA <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 confo, ance with the State Building Code.This permit may be <br /> revoked at. for cause. <br /> G ��� /1/l l /2-0/H /o/ 31/ f( <br /> App • ant Permitee Signature Date Issue y Signature Date <br /> ~ <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />