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CITYOFORONO * 2P114 - 00343 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 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: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAI,,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 466.75 <br /> PLAN REVIEW 30339 <br /> LECY BROS HOMES STATE SURCHARGE(VALUATION) 15.00 <br /> 15012 HWY 7 <br /> MINNETONKA, MN 55345 TOTAL 785.14 <br /> (952)944-9499 Payment(s) <br /> Minnesota State License#: BUIL-20325555 CHECK 38334 785.14 <br /> OW1vER <br /> LARSON, ERIC &PAMELA <br /> 75 CRYSTAL CREEK RD <br /> LONG LAKE, MN 55356- <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 governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expice 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This pecmit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />