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CITY OF ORONO * 2 0 1 7 — 0 0 9 7 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 780 TONKAWA RD <br /> PIN : 05-117-23-34-0010 <br /> LEGAL DESC : PARTENS POINT 1ST DIV <br /> : LOT 015 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 850,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,467.42 <br /> MICHAEL PAUL DESIGN BUILD STATE SURCHARGE(VALUATION) 425.00 <br /> 8959 SPRINGWOOD DRIVE TOTAL 5,892.42 <br /> WOODBURY,MN 55125- Payment(s) <br /> Minnesota State License#:BUIL-BC384886 CREDIT CARD 3610 5,892.42 <br /> OWNER <br /> MENZEL,KEITH <br /> 780 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 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 /> CAA 9'-A�o 9 1'' <br /> 'Applicant Perrhited Signature Date Issued EL9 Signature Date <br />