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t <br /> CITY OF ORONO1111111 <br /> * z 0 1 3 — PJ 0 8 3 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 591 NORTH STREAM RD <br /> PIN 25-118-23-34-0004 <br /> LEGAL DESC NORTH STREAM <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> UCTION <br /> CON TS�R;ONTYPE ADDN/ �MOPEL/.REPAIR <br /> VALUATI " $ 7,000.0051 �� <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> CRYSTAL KITCHEN CENTER PLAN REVIEW 191.75 <br /> 668 N. HIGHWAY 169 <br /> GOLDEN VALLEY,MN 55427 STATE SURCHARGE(VALUATION) 8.50 <br /> (763)544-5950 TOTAL 495.25 <br /> Minnesota State License#: 7200 <br /> OWNER <br /> PEARCE,DAVID&SUSAN <br /> 591 NORTH STREAM RD <br /> WAYZATA,MN 55391- <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 /> rev ked any time f r due Qapse. <br /> -Tcar t e tee S ature at Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />