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CITY OF ORONO 1111111011110111111111111111111111101111111111111111 <br /> * 20 1 3 - 0 1 2 1 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 960 WILLOW DR N <br /> PIN : 27-118-23-33-0011 <br /> LEGAL DESC : UNPLATTED 27 118 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 : $ 2,150.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> REPAIR WATER DAMAGE IN BASEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> GREEN CLEAN RESTORATION STATE SURCHARGE(VALUATION) 1.08 <br /> 7229 UNIVERSITY AVE.NE <br /> FRIDLEY,MN 55432- TOTAL 89.58 <br /> (763)789-9600 PAID WITH CC# 7705 <br /> Minnesota State License#: BC631450 <br /> OWNER <br /> BODE,KATHRYN <br /> 960 WILLOW DR N <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 conformance with the State Building Code.This permit may be <br /> revoked at agy time for due <br /> Tfl / <br /> Applica rmite Signature Date (FAA-� i---ak-4-11 11 2 <br /> ssues ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />