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' CITY OF ORONO PERMIT NO.: 2008-00276 <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEu: 10/09/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 COUNTRYSIDE DR W <br /> PIN : 04-117-23-13-0005 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 41,325.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: YLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> MASTER BATHROOM REMODEL AND MASTER BATH WINDOW REPLACEMENT. � <br /> Q� <br /> Q �� <br /> �t/ v�' <br /> � � <br /> J�o Q� <br /> APPLICANT PERMIT FEE SCHEDULE 595.75 <br /> SAWHORSE INC. PLAN REVIEW 387.24 <br /> 4740 42ND AVE N. STATE SURCHARGE VALUATION 20.66 <br /> ROBBINSDALE,MN 55422 � � <br /> (763)533-0352 TOTAL 1,003.65 � <br /> Minnesota State License#: 2382 <br /> OWNER <br /> KNITTEL,MARK&JOANNE <br /> 2695 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7�he work for which this permit is issued shall be performed according[o <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 sepazate <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 /> Th��pplicant is responsible for assuring all required inspections are <br /> iequ�sted in for nce with the State Building Code.This permit may be <br /> rev ked at or e cause.___ <br /> � '� � � �� � � � �� /DiU i� � <br /> ` pplicant Permitee Signat Date Iss ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />