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CITYOFORONO * z0 14 - PJ034�3 � <br /> -. 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 75 CRYSTAL CREEK RD <br /> PIN : 33-118-23-33-0003 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 30,000.00 <br /> NOTE: SEPARA"I'E PERMIT'S RrQUIRI?D: PLUMI3ING,MECkIANICAL,ELECTRICAL(S"I'ATE) <br /> K[TCHEN REMODI:I, <br /> APPLICANT PERMIT FEE SCHEDULE 466.75 <br /> PLAN REVIEW 303.39 <br /> LECY BROS HOMES STATE SURCHARGE(VALUATION) 15.00 <br /> 15012 HWY 7 <br /> MINNETONKA, MN 55345 TOTAL 78514 <br /> (952)944-9499 Payment(s) <br /> Minnesota State License#: BUIL-20325555 CHECK 38334 785.14 <br /> OWNER <br /> LARSON, ERIC & PAMF,LA <br /> 75 CRYSTAL CRF,EK RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit 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[he work described and does <br /> not grant pennission 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 pennit wiil <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 ibr 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. <br /> .,�'1 � ��'�:� �v <br /> ����f � 2S � � <br /> Applicanf PermiCee Signature ate Issued By Si ure � Date <br />