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CITY OF ORONO PERMIT NO.: 2011-01416 <br /> 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUEn: 1 U14/2011 <br /> ^ � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRE� : 3405 HIGH LA <br /> PIN : OS-117-23-11-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0843 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION /REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 45,000.00 <br /> NOTG: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELGCTRICAL(STATE) <br /> [NTERIOR REMODEL OF KITCHEN, DINETTE,POOL ROOM AND[3ATH <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> AMBERWOOD CONSTRUCTION PLAN REVIEW 40820 <br /> 5333 RIVER BLUFF CURVE <br /> BLOOMINGTON, MN 55431- STATE SURCHARGE(VALUATION) 22.50 <br /> (612)868-0903 TOTAL 1,058.70 <br /> Minnesota State License#: BC333751 PAID WITH CC# 0735 <br /> OWNER <br /> RE[LLY, KEVIN& DENISE <br /> 3405 HIGH LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <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 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 becomc null and void if construction au[horized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspendcd for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible r assuring all required inspections are <br /> requested in nfo ance ' t te Building Code.This permit may be <br /> revoked a y e for <br /> �/ �/ / � /� <br /> Appli nt Permi e Signature — Date / / <br /> Issued By Sig re D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />