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, , CITY OF ORONO * Z 0 1 6 - 0 0 4 8 6 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1885 CONCORDIA ST <br /> PIN : 17-117-23-23-0002 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,200,000.00 <br /> NOTE: RECLA[M SAC FROM DEMO CREDIT OS/2008 <br /> SEPERATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE, WATER, SEWER,ELECTR[CAL(STATE) <br /> SEE BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 7,094.92 <br /> STATE SURCHARGE(VALUATION) 580.00 <br /> ROBERT CRAIG HOMES INC. TOTAL 7,674.92 <br /> 464 2ND ST. #101 Payment(s) <br /> EXCELSIOR,MN 55331 CREDIT CARD 2276 7,674.92 <br /> (952)470-6639 <br /> Minnesota State License#: BUIL-8846 <br /> OWNER <br /> KAISER, BERNARD&CAROLYN <br /> 2855 PROVIDENCE PLACE <br /> INDEPENDENCE, MN 55359- <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 governing 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 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 /> i <br /> / � �e���� � �� _ -- � � �-�-i l,�, <br /> Applicant Permitee Signature Date Issued By gnature Date <br />