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. <br /> � CITY OF ORONO * 2 0 1 4 - 0 0 2 5 9 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 04/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 120 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0014 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN /REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 40,000.00 <br /> NOTE: SEPARAT�PERMITS R�QUIRED: PLUMBING,MF,CHANICnL, ELF,CTRICAL(STATE) <br /> INTF,RIOR FINISFI <br /> APPLICANT PERMIT FEE SCHEDULE 574.25 <br /> PLAN REVIEW 37326 <br /> GUSTAFSON, MICHAEL& SUSAN STATE SURCHARGE(VALUATION) 20.00 <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS, MN 55426- TOTAL 967.51 <br /> Payment(s) <br /> CHECK 10457 967.51 <br /> OWNER <br /> GUSTAFSON, MICHAEL& SUSAN <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS, MN 55426- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Slate E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or relaled work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not speciYied 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 /> The applicant is respo isible for ass ng all required inspections are <br /> requested in�infor ce with the tate E3uilding Code.This permit may be <br /> revoked aI y�[i e f r due caus . <br /> / � ` /� _—_.__�_._._ �/ <br /> � x� �� � / / <br /> Applicant Permitee ignature Date [ss d I3y Signature Date <br />