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CITY OF ORONO PERMIT NO.: 2008-00215 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/17/2008 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4760 WEST BRANCH RD <br /> PIN : 06-117-23-33-0002 <br /> LEGAL DESC : UNPLATTED 06 117 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 : $ 8,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INSTALLING SHOWER LINER,VAPOR BARRIER,INSULATIN AND SHEETROCK IN THE BASEMENT. TWO FOOTINGS FOR LANDING <br /> ON PORCH. <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> CLEAR CHOICE CONSTRUCTION, LLC PLAN REVIEW 105.46 <br /> 8957 TRINITY GARDENS <br /> BROOKLYN PARK,MN 55443- STATE SURCHARGE(VALUATION) 4.00 <br /> (763)913-6356 TOTAL 271.71 <br /> Minnesota State License#:20630808 PAID WITH CASH 271.71 <br /> OWNER <br /> RODEWALD,MICHEAL&CARMAN <br /> 4760 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 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 conformance with the State Building Code.This permit may be <br /> revoked at any time4or due cause. <br /> (y <br /> / (" „atm <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />