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CITY OF ORONO II II III1III 111113 - 011111111 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/27/2013 <br /> • <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4625 WEST BRANCH RD <br /> PIN : 07-117-23-22-0014 <br /> LEGAL DESC : UNPLATTED 07 117 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 : $ 1,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> NEW WINDOWS AND SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 41.25 <br /> STEVEN MARVIN COYLE STATE SURCHARGE(VALUATION) 0.50 <br /> 12995 138TH STREET <br /> NORWOOD YOUNG AMERICA, MN 55368- TOTAL 41.75 <br /> (952)467-2612 <br /> Minnesota State License#: 20633103 <br /> OWNER <br /> SILBER, STEVEN RUCE& IRENE <br /> 4625 WEST BRANCH RD <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 goveming 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 conformance with the State Building Code.This permit may be <br /> revoked at :yriiitkbr du- <br /> 1111M �� 1 ( l 27 / Z.0) ` � <br /> •pplican • u =- Signatu e Date Issued By S jf.nature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOJI. <br />