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CITY OF ORONO * Z 0 1 6 - 0 PJ 3 2 0 * <br /> "� 2750 KELLEY PARKWAY DATE ISSUED: 04/06/2016 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2112 SUGARWOOD DR <br /> Pliv : 34-118-23-21-0026 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 007 BLOCK 004 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATIOI�i : $ 6,500.00 <br /> NOTE: DECK REPAIR <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> PLAN REVIEW 100.65 <br /> JOHN HOLM CONSTRUCTION STATE SURCHARGE(VALUATION) 3.25 <br /> P.O.BOX 2182 <br /> MAPLE GROVE,MN 55311 TOTAL 258.75 <br /> (612)799-3390 Payment(s) <br /> Minnesota State License#: BUIL-9283 CHECK 6639 258.75 <br /> OWNER <br /> BERG, K&K <br /> 2112 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and speci5cations,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 /> �j�-- � ' �p - I � � �1 � S L � �� <br /> lic t Permitee Signature Date Issued By Sign ure Date <br />