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� , CITY OF ORONO * z 0 1 4 - 0 1 4 �� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/2U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 160,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,F[REPLACE,ELECTRICAL(STATE) <br /> NOTE: ESCROW WILL B EF DED AFTER ALL[NSPECTIONS HAVE BEEN FINALIZED AND SIGNED OFF BY THE BUILD[NG <br /> [NSPECTOR. INITIAL,��� <br /> APPLICANT PERMIT FEE SCHEDULE 1,487.59 <br /> CRAFTMASTER CONSTRUCTION PLAN REVIEW 46.04 <br /> P O BOX 245 STATE SURCHARGE(VALUATION) 80.00 <br /> HANOVER, MN 55341- TOTAL 1,613.63 <br /> (763)682-9147 Payment(s) <br /> Minnesota State License#: BUIL-BC062809 CHECK 14606 1,613.63 <br /> OW1vER <br /> BJORK, ROBERT& BETH <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <br /> AGREEME1vT 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 separa[e <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 afrer work has commenced. <br /> The applicant is responsible for ass ring all required inspections are <br /> requested in conformance with th tate Building Code.This permit may be <br /> revo d at any time for due cau . �---� ' <br /> i �� <br /> G/�21 � i� -i'�� � / � /�.5 <br /> pplicant P mitee S� nature ate Issued y ignature Date <br />