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' CITY OF ORONO * 2 0 1 3 — PJ 1 z 5 6 * <br /> ` 2750 KELLEY PARKWAY pATE IssuE�: 12/03/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4325 CHIPPEWA LA <br /> PIN : 31-118-23-42-0009 <br /> LEGAL DESC : CHIPPEWA <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,800.00 <br /> NO"I'G: PLEASE FILL IN THE FO[.L.OWING: <br /> VALUA��ION OF PGRMIT: $ 2,800.00 <br /> I'YPk;OF PERM[T TH1S PAYMEN"I IS FOR: S"I�OIZAGE SHI?D <br /> PERMI"f#"I�1IIS PRL-PnYMI�:N"I-IS"[�IP,D TO: 2013-012�7 <br /> APPLICANT ADVANCED PLAN REVIEW 57.53 <br /> PETRUSA, JOSEPH & JANELLE TOTAL 57.53 <br /> 4325 CHIPPEWA LA <br /> ORONO, MN 55356- <br /> OWNER <br /> PETRUSA, JOSEPH &JANELLE <br /> 4325 CHIPPEWA LA <br /> ORONO, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe 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 1br additional or related work which requires separate <br /> pennits. 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 Ihe date ot�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 ti�me for due cause. � ��-!� ��� � � <br /> � \ '� ) „ � I / :.r. .� •/ ` <br /> _ �-�_�.c..c ��� �Z i 3 i j � ��" _/�� �� > > i i � <br /> Applicant Permitee Signature Date Issued By Signat re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />