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� � ' . CITY OF ORONO PERMIT NO.: 2010-00409 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 06/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT OOl BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASL 1=1LL IN THE FOLLOWING: <br /> VALUATION OF PERMI"I':$ 3Q000.00 <br /> 1'YPE OF PERMIT THIS PAYMENT IS FOR: BUILDING-RGMODEL KITCHEN&4 SF,ASON PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00410 <br /> APPLICANT ADVANCED PLAN REVIEW 303.39 <br /> KMS ASSOCIATES LLC TOTAL 303.39 <br /> 2216 COUNTY ROAD D <br /> ROSEV[LLE, MN 551 12- PAID WITH CC# 3493 <br /> (612)242-7898 <br /> Minnesota State License#: 20634045 <br /> OWNER <br /> MCKEE, MR. &MRS. MELVIN <br /> 1815 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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. "I�his permit is for only the work dcscribed and does <br /> not gran[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 not specitied herein.'I�his permit wiil <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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo� at �me for due cause. <br /> � / � / � � / / <br /> Applicant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />