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� ,, CITY OF ORONO * Z 0 1 5 - 0 1 4 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1199 ELMWOOD AVE <br /> PIN : 07-117-23-14-0059 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 38,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> BATHROOM REMODEL AND WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 580.44 <br /> SICORA INC STATE SURCHARGE(VALUATION) 19.00 <br /> 5601 WEST LAKE STREET TOTAL 599.44 <br /> ST LOUIS PARK, MN 55416- Payment(s) <br /> (952)929-0098 CREDIT CARD 0999 599.44 <br /> Minnesota State License#: BUIL-BC253425 <br /> OWNER <br /> HARVEY, MR.& MRS. <br /> 1199 ELMWOOD AVE <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work f'or 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[his 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 /> �' \ -.__ <br /> ����.�s-5����.�-� ������1�� o �� , ,� <br /> Applicant Permitee Signature Date [ sue y Signature Date <br />