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CITY OF ORONO * 2 0 1 5 — 0 P1 4 5 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2015 <br /> . ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2696 CAROLINE AVE <br /> PIN : 20-117-23-24-0034 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 75,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 912.84 <br /> STATE SURCHARGE(VALUATION) 37.50 <br /> REVISION LLC TOTAL 950.34 <br /> 153 E LAKE STREET Payment(s) <br /> WAYZATA,MN 55391- CHECK 10794 950.34 <br /> (952)540-7150 <br /> Minnesota State License#: BUIL-BC639027 <br /> OWNER <br /> MILLER,CHARLES&JILL <br /> 2696 CAROLINE AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT A1vD 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 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 a[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 ti or ue cause. <br /> �GJ <br /> u , , 1��"' ���.�c_-� Gy�,1c�v� � ,�7 , !�" <br /> �� � <br /> Applicant P � e Sign ure Date Issued By Signature Date <br /> _____..� <br />