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CITY OF ORONO * 2 0 1 z - 0 0 5 1 7 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2012 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2509 KELLY AVE <br /> PIN : 20-117-23-12-0037 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1428 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: REBUID EXISTING ATTACHED DECK-OK'D BY LYLE OMAN,IF REBUILT IN-KIND ONLY! � INITIAL <br /> APPLICANT pERMIT FEE SCHEDULE 413.00 <br /> NADLER,CHARLES&CANDICE PLAN REVIEW 268.45 <br /> 2509 KELLY AVE STATE SURCHARGE VALUATION 12.50 <br /> EXCELSIOR,MN 55331- � � <br /> TOTAL 693.95 <br /> OWNER <br /> NADLER,CHARLES&CANDICE <br /> 2509 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 /> State Building Code. This permit is for only the work described and does <br /> not gant 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 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 conformance with the State Building Code.This permit may be <br /> revo ed at any time for due cause. <br /> � i 1 i i/ i / �-- <br /> App icant Permitee Signature Date Is By Signat re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />