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CITY OF ORONO 011111 111 1111 11.1111 11 II <br /> * 20 1 4 - 0005 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 77,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> BASEMENT REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 884.25 <br /> STATE SURCHARGE(VALUATION) 38.50 <br /> PLEKKENPOL BUILDERS TOTAL 922.75 <br /> 401E 78TH ST <br /> Payment(s) <br /> BLOOMINGTON,MN 55420- <br /> (952)888-2225 CREDIT CARD 6152 922.75 <br /> Minnesota State License#: cont-1797 <br /> OWNER <br /> BERRELL,ROBERT&KAREN <br /> 2740 WHITE OAK CIR <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 goveming 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 /> / 23 7 �AA / <br /> ii. _ / <br /> p Ica/'ermit Signat e Date Is u‘ By Sign Lure Date <br />