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CITY OF ORONO * z 0 1 5 — 0 1 1 z 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2015 <br /> ' ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2755 CASCO POINT RD <br /> PIN : 20-117-23-23-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.265 <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: FIREPLACE,ELECTRICAL(STATE) <br /> NEW CABINETS,FIREPLACE,CARPET TO BASEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 123.91 <br /> PLAN REVIEW 80.54 <br /> KUHL DESIGN&BUILD, LLC STATE SURCHARGE(VALUATION) 2.50 <br /> 1515 STH STREET SOUTH <br /> HOPKINS, MN 55343- TOTAL 206.95 <br /> (952)935-9469 Payment(s) <br /> Minnesota State License#: BUIL-BC390161 CHECK 20970 206.95 <br /> OWNER <br /> BASKFIELD,MICHEAL&SHARON <br /> 2755 CASCO PT 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 sepazate <br /> pennits. 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 wi[hin 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 aze ���� <br /> requested in conformance with the State Building Code.This permit may be <br /> t any ti for due ca�se. �� --�, <br /> � ��,�l ���sz'��� (� � C� 7 C 1 — <br /> i i <br /> Applicant Permitee Sign re Date Issued By Signature Date <br />