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. . CITY OF ORONO * 2 0 1 6 - 0 0 1 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2699 KELLY AVE <br /> PIN : 21-117-23-23-0041 <br /> LEGAL DESC : WALTERS PORT <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�T TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 120,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR REMODEL/REPAIR&WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE l,235.92 <br /> STATE SURCHARGE(VALUATION) 60.00 <br /> MORIN&TANYA SREPEL,CHARLES TOTAL 1,295.92 <br /> 2699 KELLY AVE Payment(s) <br /> EXCELSIOR,MN 55331- CHECK 1047 1,295.92 <br /> OWNER <br /> MORIN&TANYA SREPEL,CHARLES <br /> 2699 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 grant 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 /> revoked at any time for due cause. <br /> Z D �-eG � � � �l � <br /> pp icant Permitee Signature Date Issued B ignature Date <br />