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� CITY OF ORONO PERMIT NO.: 2009-00718 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEv: 10/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3065 JAMESTOWN RD <br /> PIN : 28-118-23-33-0008 <br /> LEGAL DESC : LIBERTY ACRES <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPA[R <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STA'I'E) <br /> 4 SEASON PORCH REPAIR <br /> ADV. PLAN REVIEW FEE$76.70 PD 10/16/09 2009-00717 <br /> APPLICANT PERMIT FEE SCHEDULE l 18.00 <br /> LARRY VENSEL CONSTRUCTION INC. <br /> 87 MCCULLEY RD STATE SURCHARGE(VALUATION) 2.50 <br /> MAPLE PLAIN,MN 55359- TOTAL 120.50 <br /> (763)300-2738 PAID WITH CC# 1220 <br /> Minnesota State License#: 5836 <br /> OWNER <br /> KOOB,JOHN& SUSANNE <br /> 3065 JAMESTOWN RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 /> pem�its. All provisions of laws and ordinances governing this type oY work <br /> shall be compied with whether or not specified hereia 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at aiity time for duglbause. � <br /> ` - -� i <br /> � ��� �,/���., ���.--- ��:'� � _ �� ,ta. l.� Z�D <br /> � � � � � � <br />�� Applica Permitee Signature Date I u y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />