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s ,-----� <br /> CITY OF ORONO * z 0 1 5 - 0 0 1 Z 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2015 <br /> • , ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/RF,MODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 282,735.00 <br /> NOTE: SEPARATE PERMI"CS R�,QUIRED: PLUMBING, MECHANICAL,ELECTRICAL(STATE) <br /> ADDIT[ON TO HOME <br /> i <br /> * PRIOR TO RELEASE f20W AN AS-BU[LT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED AND <br /> APPROVED. [NITfiA . <br /> * PLEASE NOTE,THIS PROPERTY[S AT THE MAXIMUM LEVEL ALLOWED FOR STRUCTURAL COVERAGE.IlVI � <br /> APPLICANT PERMIT FEE SCHEDULE 2,262.49 <br /> PLAN REVIEW 70.03 <br /> M& M HOME CONTRACTORS STATE SURCHARGE(VALUATION) 141.37 <br /> PO BOX 90 <br /> COLOGNE, MN 55322- TOTAL 2,473.89 <br /> (612)797-3720 Payment(s) <br /> Minnesota State License#: BUIL-BC560376 CREDIT CARD 1137 2,473.89 <br /> OWNER <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA <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 goveming this type of work <br /> shall be compied with whe[her 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 /> sus d for a period of 180 days at any time after work has commenced. <br /> T e app cant is responsible for as ring all required inspections are <br /> queste conformanc wit the tate E3u ng Code.This permit may be <br /> revoked y i for e c se. <br /> � <br /> �' ( � � /4�3/ !5 <br /> lica t P mitee Si ture - Date Issu By Signature Date <br />