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, � CITY OF ORONO *�� 1 2 s 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U05/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : ]000 COX FARM KD <br /> PIN : 27-118-23-32-0018 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 40,000.00 <br /> NO'1'E: SEPARATE PERMI"1'S RGQUIRI�,D: PLUMBING,MECHnNICAL, ELF,CTRICAL(S'I�ATF.) <br /> BASEMENT HINISH <br /> APPLICANT PERMIT FEE SCHEDULF 574.25 <br /> PLAN REVIEW 373.26 <br /> BUILT TO PERFECTION, LLC <br /> 8181 CURTIS LANE STATE SURCHARGE(VALUATION) 20.00 <br /> EDEN PRAIRIE, MN 55347- TOTAL 967.51 <br /> (612) 868-9099 Payment(s) <br /> Minnesota State License#: BUIL-BC627542 CREDIT CARD 6333 967.5 I <br /> OWNER <br /> NARUM, DAVID& CAROL <br /> 1000 COX FARM ROAD <br /> LONG LAKE, MN 55356- <br /> AGRF,EMENT AND SWORN STATEMENT <br /> The���ork for H�hich this permit is issucd shall be performed aecording to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission fbr additional or related work which requires separate <br /> permits. All provisions of laws and ordinanccs goveming this type of work <br /> shall be compied with whether or not specificd 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 oC 180 days at any time after work has commenced. <br /> Thc applicant is resppnsible for assuring all required inspections are <br /> requested in 'onformanc with the State[3uilding Code.'This permit may be <br /> revoked at a�r,u time for di c cause. <br /> \ <br /> �'`�'� �� i � �� i-S / <br /> Applicant PermiC��S �nature ale Issued ignature Date <br />