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CITY OF ORONO PERMIT NO.: 2009-00022 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE IssUEn: 02/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 160 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0022 <br /> LEGAL DESC : HALLSON ESTATES 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 45,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL <br /> KITCI IEN RF,MODEL <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> MIN?�]ETONKA CUSTOM HOMES INC. PLAN REVIEW 408.20 <br /> 3575 TUXEDO BLVD <br /> MOUND, MN 55364 STATE SURCHARGE(VALUATION) 22.50 <br /> (612)386-4494 TOTAL 1,058.70 <br /> Minnesota State License#: BC20386620 <br /> OWNER <br /> SCHMID, KURT&CAROL <br /> 160 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMEtVT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 separa[e <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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conf e with the State Building Code.This permit may be <br /> revoked� time tor ue cause. <br /> � �- / Co / o / / <br /> Applicant Per itee Signature Date Issued C3y ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />