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CITY OF ORONO * z 0 1 4 - 0 0 P1 1 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU2l/2014 <br /> � ' ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2610 MAPLERIDGE LA <br /> PIN : 21-117-23-21-0009 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1468 <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 : $ 24,740.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> BATHROOM REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> DOUG DZURIK CONSTRUCTION STATE SURCHARGE(VALUATION) 12.37 <br /> 1700 NIAGARA LN N TOTAL 425.37 <br /> PLYMOUTH,MN 55447 Payment(s) <br /> (612)221-2431 �� 7104 425.37 <br /> GC_ <br /> Minnesota State License#: BUIL-BC062372 <br /> OWNER <br /> FESLER&JANE ZELETES, DANIEL <br /> 2610 MAPLERIDGE LA <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 sepazate <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 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 I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � . ;� � / / <br /> App i n erm' Signatur Date Issued B gnature Date <br />