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CITY OF ORONO * 2 0 1 3 - 0 1 1 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2811 FARVIEW LA <br /> P[N : 04-117-23-34-0003 <br /> LEGAL DESC : FARVIEW <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIV ITY : 434-RESIDENTIAL <br /> VALUATION : $ 36,400.00 <br /> NOTE: <br /> DF,CK REPAIR-NEW RAILING-RGPLACF,WOOD AS NF EDED. <br /> APPLICANT PERMIT FEE SCHEDULE �42.00 <br /> OUTDOOR EXCAPES, INC. STATE SURCHARGE(VALUATION) 18.20 <br /> 2345 DANIELS STREET <br /> LONG LAKE, MN 55356- TOTAL 560.20 <br /> (952)926-6899 PAID WITH CC# 7507 <br /> Minnesota State License#: 20630819 <br /> OW1vER <br /> KATHRYN TABNER, MICHAEL BOARDMAN& <br /> 2811 FARVIEW LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> �I�he work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is t�or only the work described and does <br /> not grant permission for additional or related work which requires scparate <br /> pennits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not speciYied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date oY 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 /> r� •ny timc or usc. <br /> ��-� �� l� � l , � � �2/�l�vz /�' l3� l/ <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />