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CITY OF ORONO * Z p� 1 4 - P1 0 2 3 1 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2655 COUNTRYSIDE DR W <br /> P[N : 04-117-23-13-0006 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STUCCO <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 25,000.00 <br /> NO'CE: RF_,MOVL' STUCCO IN HIGI�I MO[STURE AREAS TES"1'BY CMT&REPAIR AS NEEDED. PATCH STUCCO <br /> APPL(CANT PERMIT FEE SCHEDULE 413.00 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> SUNSET CONSTRUCTION GROUP, INC ' TOTAL 425.50 <br /> 5101 HWY 55 SUITE 5000 <br /> MINNEAPOLIS, MN 55422- Payment(s) <br /> (763)546-1100 CHECK 6066 425.50 <br /> Minnesota State License#: BUIL-BC375069 <br /> OWNER <br /> LEVY, NEAIL& IRENE <br /> 2655 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he 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[he 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 no[specified hercin.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of iss�iance,or if construction is <br /> suspended for a period of 180 days a[any time after work has commenccd. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformanee with the State Building Code.This permit may bc <br /> revokec�at any time for due cause. <br /> �� <br /> /� <br /> —�._-��. .� � � �f— / �� / / <br /> licant Perm� ee Signaturc Date Issued By S'g ature Date <br />