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, CITY OF ORONO * z 0 1 S - 0 1 1 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1105 BROWN RD S <br /> PI1v : 10-117-23-24-0004 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 482,087.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 3,522.49 <br /> PLAN REVIEW 503.69 <br /> NORTON HOMES STATE SURCHARGE(VALUATION) 241.04 <br /> 18215 45TH AVE N, STE D <br /> PLYMOUTH, MN 55446- TOTAL 4,267.22 <br /> (612)386-7661 Payment(s) <br /> Minnesota State License#: BUIL-BC639221 CHECK 13905 4,267.22 <br /> OWKER <br /> Norton Homes <br /> 18215 45TH AVE N,#D <br /> PLYMOUTH, MN 55441- <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 /> permits. All provisions of laws and ordinances goveming 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 afrer 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 /> � , <br /> � ___� <br /> `�_.._ , ,- ��l � S ,� `� ,��-� �L.� <br /> � <br /> Applicant Permitee Signature Date Issu�d B Signature Date <br /> % <br />