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. CITY OF ORONO <br /> * 2 0 1 3 - 0 1 2 1 3 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 1U25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3420 BAYSIDE RD <br /> PIN : OS-117-23-13-0012 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 203 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,400.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> BASEMENT FINISH <br /> APPLICANT pERM1T FEE SCHEDULE 88.50 <br /> MILESKI&APRIL NEWTON, BLAIR STATE SURCHARGE(VALUATION) 120 <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- TOTAL 89.70 <br /> PAID WITH CC# 9631 <br /> OWNER <br /> MILESKI&APRIL NEWTON, BLAIR <br /> 3420 BAYSIDE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "Chis 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 Quilding Code.Tl�is permit may be <br /> revoked at an time for e cause. <br /> ' ^ � I � �.� � � / / <br /> Ap lic� itee Signature � Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />