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CITY OF ORONO PERMIT NO.: 2011-01352 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/17/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 505 WILLOW DR S <br /> PIN 04-117-23-41-0012 <br /> LEGAL DESC MAJESTIC SPRUCE ADDITION <br /> LOT 2 BLOCK 1 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 150,000.00 <br /> NOTE: INTERIOR REMODEL -ADV.PLAN REVIEW COLLECTED$881.89 PERMIT 2011-01353 <br /> SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,LAWN IRRIGATION ELECTRICAL(STATE) <br /> PRAAPPLICANT PERMIT FEE SCHEDULE 1,356.75 <br /> 3500 W ILOW LAKE BLVD HOMES STATE SURCHARGE(VALUATION) 75.00 <br /> 3500 <br /> VADNAIS HEIGHTS,MN 55127- <br /> TOTAL 1,431.75 <br /> (651)429-8032 <br /> Minnesota State License#:BC000001 <br /> OWNER <br /> MOORHOUSE&SHAYNE ERNZER,MARK <br /> 505 WILLOW DR S <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"has commenced. <br /> The applicant is responsible for assuring all required in ections are <br /> requested in conformance State Buildigg Cod .This permit may be <br /> revoked at any time for due cause. <br /> / �6� <br /> Applicant Permitee Signature Dae Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />