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CITY OF ORONO * Z 0 1 6 — PJ fd 9 9 2 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2016 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 865 FERNDALE RD W <br /> PIN : 02-117-23-44-0006 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 184 <br /> : LOT 104 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : GARAGE-ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 45,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL-(STATE) <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED <br /> AND APPROVED. INITIAL: � <br /> NOTE: CHANGES TO PLAN REQUIRE PRIOR APPROVAL BY CITY. INITIAL: _M� <br /> APPLICANT PERMIT FEE SCHEDULE 659.47 <br /> STATE SURCHARGE(VALUATION) 22.50 <br /> REV[SION LLC TOTAL 681.97 <br /> 153 E LAKE STREET Payment(s) <br /> WAYZATA, MN 55391- CHECK 12495 681.97 <br /> (952)540-7150 <br /> Minnesota State License#: BUIL-BC639027 <br /> OWNER <br /> ERICKSON&SHARON NESBITT, STEVEN <br /> 865 FERNDALE RD W <br /> ORONO, MN 55391- <br /> ACREEMENT AND SWORN STATEMEIVT <br /> The work for which[his 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 bewme null and void if construction authorized is not <br /> commenced within l80 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 f due caus� �.� � <br /> I ' ��� <br /> � � <br /> _ , ��_�_,�, �� �•c�--e.,� ���--�� ���1 �� � � �� <br /> App ' nt Perm' ignature Date Issued By Signature Date <br />