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. ' CITY OF ORONO * z 0 1 6 - 0 0 7 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1395 BROWN RD S <br /> PIN : 10-117-23-31-0050 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> REPAIR/REMODEL STORM DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 185.83 <br /> PLAN REVIEW 120.79 <br /> KUNTZ CUSTOM HOMES STATE SURCHARGE(VALUATION) 4.25 <br /> 1630 OXFORD AVE <br /> DELANO, MN 55328- TOTAL 310.87 <br /> Minnesota State License#: BUIL-BC225049 Payment(s) <br /> CHECK 7460 310.87 <br /> OWNER <br /> KALEY, MR. &MRS. PHILIP <br /> 1395 BROWN RD S <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 docs <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 l80 days at any time afrer 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 /> '� �'�„�� ��� �L' �j��`j`��(�i � I 'L�� r� �/ �l� <br /> �� <br /> Applicant Permitee Sign ture Date Issued B gnature Date <br />