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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliiffin <br /> CITY OF ORONO * 2 0 1 6 - 0 0 1 6 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 102 CHEVY CHASE DR <br /> PIN 36-118-23-41-0031 <br /> LEGAL DESC HILL O'WAY MANOR <br /> LOT 026 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 120,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> REMODEL&WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 1,235.92 <br /> STATE SURCHARGE(VALUATION) 60.00 <br /> LAUREL BUILDERS TOTAL 1,295.92 <br /> 1758 CHATEAU AVE Payment(s) <br /> SHAKOPEE,MN 55379 CREDIT CARD 6071 1,295.92 <br /> (952)200-3934 <br /> Minnesota State License#:BUIL-630887 <br /> OWNER <br /> YOKIEL, SCOTT&JENNIFER <br /> 102 CHEVY CHASE 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />