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, � CITY OF ORONO * z 0 1 � _ 0 0 � z � * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1318 SPRUCE PL <br /> PIN : 08-117-23-32-0018 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK O10 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FOUNDATION ONLY <br /> VALUATION : $ 5,000.00 <br /> NOTE: FOUNDATION REPA[R <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> INNOVATNE BASEMENT SYSTEMS STATE SURCHARGE(VALUATION) 2.50 <br /> 1100 HOLSTEIN DR NE PLAN REVIEW 80.52 <br /> PINE CITY, MN 55063- TOTAL 206.89 <br /> (320)629-3990 Payment(s) <br /> Minnesota State License#: cont-BC524785 CREllI"l�C:AKU �6�49 zUb.xy <br /> OWNER <br /> IVERSON, ANDREW <br /> 1318 SPRUCE PL <br /> MOUND, MN 55364- <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 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 /> l�� � l �P i �� , <br /> Applicant Permitee Signature Date Issued Signature Date <br />