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� � CITY OF ORONO PERMIT NO.: 2010-00433 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEv: 06/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1415 PARK DR <br /> PIN : 07-117-23-42-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 002 BLOCK O15 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVTTY : 434-RESIDENTIAL <br /> VALUATION : $ 20,705.77 <br /> NOTE: WATER DAMAGE REPAIR <br /> � <br /> APPLICANT pERMIT FEE SCHEDULE 354.00 <br /> LINDSTROM RESTORATION STATE SURCHARGE(VALUATION) 10.35 <br /> 9621 l OTH AVE N TOTAL 364.35 <br /> PLYMOUTH,MN 55441- <br /> (763)5448761 <br /> Minnesota State License#: 1087 <br /> OWNER <br /> FETTERS,JEFF&MARCIA <br /> 1185 RIDGE ROAD NE <br /> OWATONNA,MN 55060 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> re a any U e cause. <br /> Ro/ t� l ! o � lol/7 / /U <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />