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� " CITY OF ORONO PERMIT NO.: 2010-00406 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE [ssuEv: 06/25/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 275 HOLLANDER RD <br /> PIN : 25-118-23-43-0025 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> RENOVATE EXISTING LOWER LEVEL BATH <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> DAVID PINSKE DESIGN & BUILD PLAN REVIEW 124.64 <br /> 4216 CROCKER AVE. <br /> EDINA,MN 55416- STATE SURCHARGE(VALUATION) 5.00 <br /> O TOTAL 32139 <br /> Minnesota State License#: 8704 <br /> OWNER <br /> MILLER, PAUL BRUER&L[NDA <br /> 275 HOLLANDER 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 l80 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"a7Tr uired inspections are <br /> requested in cont�rmance with the State B��ng Co .This permit may be <br /> revoked at aqy time f <br /> """� .-- . <br /> _�,,.�_. r . - ' , f <br /> �.. ' �'` � �%� � � � l/� � !� �� C.!���� � � <br /> l�� � App(icant Permitee Signature Date Issued By Si;g� ture � Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB . <br />