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r , <br /> CITY OF ORONO * Z 0 1 6 — 0 1 2 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 125 CHEVY CHASE DR <br /> PI1V : 36-118-23-41-0018 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 80,000.00 <br /> NOTE: SEPARATE PERMI'I'S REQUIRED: PLUMB[NG,MECHANICAL, ELECTRICAL(STATE) <br /> INTERIOR REMOUEL <br /> APPLICANT PERMIT FEE SCHEDULE 952.32 <br /> CLATRMONT DESIGN BUILD LLC STATE SURCHARGE(VALUATION) 40.00 <br /> 11658 SOTH STREET N TOTAL 992.32 <br /> LAKE ELMO MN 55042- Payment(s) <br /> ' CREDIT CARD 1503 992.32 <br /> OWNER <br /> MCCLAHAHAN, ROBERT& KRISTIN <br /> 125 CHEVY CHASE DR <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 F3uilding 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 /> l - . r <br /> � <br /> �C�l ��"ll �� <br /> Applicant Permitee Signature Date [ssued Signature Date <br />