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CITY OF ORONO * 2 0 1 6 - 0 0 6 1 4 <br /> �w 2750 KELLEY PARKWAY DATE ISSUED: 06/01/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 755 TONKAWA RD <br /> PIN : 05-117-23-33-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.217 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: INSULATION ONLY-THI CTOR WAS HIRED TO ONLY DO INSULATION <br /> NOTE: DO NOT COVER.INITIA . <br /> APPLICANT PERMIT FEE SCHEDULE 43.67 <br /> PLAN REVIEW 281.89 <br /> KUHL'S CONTRACTING STATE SURCHARGE(VALUATION) 11.50 <br /> 1515 S 5TH STREET <br /> HOPKINS,MN 55343- TOTAL 72.06 <br /> Payment(s) <br /> (952)935-9469 <br /> CREDIT CARD 2216 72.06 <br /> Minnesota State License#:BUIL-BC195769 <br /> OWNER <br /> SARAH BUSTON,JULIE BROWN <br /> 755 TONKAWA 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 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 ofa date of issuance,or if construction is <br /> suspended for a peri of 180 y at any time after work has commenced. <br /> The applicant is resppnsible f9k as ring all required inspections are <br /> requested in conforniance w0i the tate Building Code.This permit may be <br /> revoked at any time or du cause. <br /> Applicant PerntVe Signature Date Issue B Signature Date <br />