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CITY OF ORONO 'Ill //1111111 II II 11 II U <br /> 990 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 WOODHILL RD <br /> PIN : 02-117-23-12-0001 <br /> LEGAL DESC : UNPLATTED 02 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 437-NONRESIDENTIAL&NONHOUSEKEEPIN <br /> VALUATION : $ 37,480.00 <br /> NOTE: FOUNDATION WALL ANCHORS <br /> OTHER INSPECTION REQUIRED: DURING INSTALLATION <br /> APPLICANT PERMIT FEE SCHEDULE 552.75 <br /> STATE SURCHARGE(VALUATION) 18.74 <br /> JESSE TREBIL FOUNDATION SYS INC. TOTAL 571.49 <br /> 60335 U S HWY 12 <br /> Payment(s) <br /> LITCHFIELD,MN 56387- <br /> (320)974-8729 CREDIT CARD 3188 571.49 <br /> Minnesota State License#: BUIL-20446489 <br /> OWNER <br /> CLUB, WOODHILL COUNTRY <br /> 200 WOODHILL RD <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 /> 0 / 9/ 1-.// 7 <br /> WV <br /> npPlicantrmitee t nature Da <br /> ssueygnaure Date <br />