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' ' CITY OF ORONO * 2 0 1 5 - 0 1 2 2 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U10/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1380 BRIAR ST <br /> P[N : 10-117-23-31-0053 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 306,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL, FIREPLACE,WATER CONNECTION,SEWER CONNECT[ON, <br /> ELECTRICAL(STATE) <br /> NOTE: PLEASE SEE AND 1NITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 2,407.39 <br /> STATE SURCHARGE(VALUATION) 153.00 <br /> SUMMIT CRAFTSMAN LLC <br /> P O BOX 526 TOTAL 2,560.39 <br /> SHAKOPEE, MN 55379- Payment(s) <br /> (612)247-6997 CHECK 9397 2,560.39 <br /> Minnesota State License#: BUIL-BC20626592 <br /> OWNER <br /> ZITZLOFF,JEFFREY& BRENDA <br /> 1380 BRIAR ST <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 separa[e <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. r—_ , <br /> , I � -(�--15 �° U�� � � � <br /> Applicant e e ig ture Date Issued gnature Date <br />