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CITY OF ORONO 111111111111111111111111111111111111111111111111111 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2016 <br /> * , ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS t : 2445 WOODHAVEN DR <br /> PIN : 33-118-23-41-0010 <br /> LEGAL DESC : LEVERINGS WOODHAVEN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 17,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> PLAN REVIEW 201.34 <br /> FAIR&SQUARE REMODELING STATE SURCHARGE(VALUATION) 8.50 <br /> 210 EAST DEAN AVE <br /> CHAMPLIN,MN 55316- TOTAL 519.59 <br /> (612)245-5826 Payment(s) <br /> Minnesota State License#:BUIL-BC638907 CREDIT CARD 6313 519.59 <br /> OWNER <br /> HARRIS,JOHN&PATRICIA <br /> 2445 WOODHAVEN DR <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 due cause. , /J, <br /> ,�, ► y� �' 1 �_eC�f ( f�l ( 7/ ((.' <br /> App leant Permitee Signature Date Issued By Signature Date <br />