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CITY OF ORONO * 2 0 1 Z - 0 0 9 4 1 * <br /> • '' 2750 KELLEY PARKWAY <br /> DATE 1SSUED: 09/27/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 350 BROWN RD S <br /> PIN : 03-117-23-13-0001 <br /> LEGAL DESC : UNPLATTED 03 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 31,000.00 <br /> NOTE: SEVERA"I'E PERM[TS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE, ELEC'IRICAL(STATE) <br /> DECK REYAIR <br /> APPLICANT PERMIT FEE SCHEDULE 477.50 <br /> CHALFEN, RICHARD PLAN REVIEW 310.38 <br /> 350 BROWN RD S <br /> LONG LAKE, MN 55356- STATE SURCHARGE(VALUAT[ON) 15.50 <br /> MISC FEE 0.00 <br /> TOTAL 803.38 <br /> OWNER <br /> CHALFEN, RICHARD <br /> 350 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'Che 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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h whether or not specif ied 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 I 80 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."l�his permit may be <br /> revoked at any time for due cause. l <br /> /ri�/'�l�,� � �z� �7v, z �%�� � l p��l oZ <br /> � pplic�itce Signaturc Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />