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/ <br /> CITY OF ORONO PERMIT NO.: 20��-oo6g5 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: 07/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 120 COX FARM RD <br /> PIN : 27-118-23-31-0021 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : STUCCO <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 5,600.00 <br /> NOTG: THIS PGRMIT IS FOR WATER INTRUSION REYAIRS FOR PARTIAL STUCCO. <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> HUNERBERG CONSTRUCTION CO STATE SURCHARGE(VALUATION) 2.80 <br /> 11102 86TH AVE N TOTAL 135.55 <br /> MAPLE GROVE, MN 5531 I- <br /> (763)463-5040 PAID WI7'H CC# 1341 <br /> Minnesota State License#: 3243 <br /> OWNER <br /> PIPER, WILLIAM& TIFFANEY <br /> 1120 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The«�ork for�vhich this permit is issucd 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 pennission for additional or related wark 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 datc of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsibie for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a ny time for c <br /> �l �v l �r �r�� �7/ �d l l <br /> Appl ca Permitee Si ature Date Issu�, By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />