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• CITY OF ORONO PERMIT NO.: 2010-00333 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUED: 05/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1058 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0006 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,000.00 <br /> NOTE: REPAIRS DUE TO YIPE MALFUNCI'ION CAUSING WATER DAMAGE. <br /> �� � a �sS <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> DRY TECH CO LLC STATE SURCHARGE(VALUATION) 4.00 <br /> 13419 FENWAY BLVD N#104 TOTAL 166.25 <br /> HUGO, MN 55038- <br /> (651)429-8444 <br /> Minnesota State License#: 20457802 <br /> OWNER <br /> SCHAIBLE,TODD& MICHELLE <br /> 1058 LOMA L(NDA AVE <br /> MOUND, MN 55364 <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,app(icable 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 specitied 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 c ormance with the State Building Code.This permit may be <br /> revoked a y time for du use. <br /> �� _.. .5 � /.� id��o �Q�- .5�� �v� �C� <br /> Ap �cant Per � ee ignature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />