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, • CITY OF ORONO * 2 0 1 2 - 0 1 0 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 480 DEBORAH DR <br /> PIN : 31-118-23-23-0007 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 17,500.00 <br /> NOTE: SEPERATE PGI2M11�S RL;QUIKED: NLUMQING,ELECTRICAL(STATE) <br /> BATHKOOM RF,MODEI. <br /> APPLICANT pERMIT FEE SCHEDULE 309.75 <br /> MICHAEL HAYES HOMES, INC. PLAN REVIEW 201.34 <br /> 2421 LORIEN ST <br /> HOPKINS, MN 55305- STATE SURCHARGE(VALUATION) 8.75 <br /> (952)975-9394 TOTAL 519.84 <br /> Minnesota State License#: 2163 PA[D W[TH CC# 2668 <br /> OWNER <br /> TRAPANESE,ALBERT& CHERYL <br /> 480 DEBORAH DR <br /> MAPLE PLAIN, MN 55359 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc�vork for which this permit is issued shall bc perfonned according to <br /> die 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 separate <br /> permits. All provisions of laws and ordinances goveming 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 no[ <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 responsible for assuring ali required inspections are <br /> requested in conformance with Ihe State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> t/.�%/� /���� l� Z � I�1 � � <br /> Applicant Permite �gna�r��� Date ssu � y Signature � \ /�Da�� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />