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CITY OF ORONO ! I I I 11 11 <br /> 2750 KELLEY PARKWAY * 2 1 6 - 0 1 1 8 <br /> DATE ISSUED: 12/2U22 016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1175 WILLOWBROOK DR <br /> PIN : 26-118-23-41-0004 <br /> LEGAL DESC : WILLOWBROOK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GARAGE-DETACHED <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 60,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> SEE BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 794.72 <br /> STATE SURCHARGE(VALUATION) 30.00 <br /> SETNICKER,MIKE&MOLLY TOTAL 824.72 <br /> 1175 WILLOWBROOK DR <br /> WAYZATA,MN 55391- Payment(s) <br /> CHECK 3444 824.72 <br /> OWNER <br /> SETNICKER,MIKE&MOLLY <br /> 1175 WILLOWBROOK DR <br /> WAYZATA,MN 55391- <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 /> i a-b-I I (-6 ` � <br /> Appli t Permitee Signature Date Iss _ y Signature Date <br />