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CITY OF ORONO * z 0 1 6 - 0 0 0 s s * <br /> 2750 KELLEY PARKWAY DATE [SSUEn: OS/17/2016 <br /> 1��` ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1050 EDGEWOOD HILLS RD <br /> PIIv : 02-117-23-13-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <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 : $ 1,500,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMB[NG,MECHANICAL, FIREPLACE,SEWER CONNECTION,WELL(STATE), <br /> ELEC'rRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICAi�IT PERMIT FEE SCHEDULE 8,354.92 <br /> STATE SURCHARGE(VALUATION) 700.00 <br /> STREETER&ASSOCIATES <br /> 18312 MINNETONKA BLVD TOTAL 9,054.92 <br /> WAYZATA,MN 55391 Payment(s) <br /> (612)449-9448 CHECK 9054.92 9,054.92 <br /> Minnesota State License#: BUIL-1380 <br /> OWNER <br /> STEINER, BARBARA <br /> 1050 EDGEWOOD HILLS RD <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 does <br /> not grant permission 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 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 /> re ed at any time for due cause. � <br /> 1� �_ ���� !'_-_� <br /> �� _ �- �-�. a�.� G � � ,� 7 , l <br /> Applicant Permit Signature Date Issued B ignature Date <br />