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M i <br /> CITY OF ORONO * z 0 1 4 - 0 r� 1 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 HERITAGE LA <br /> PIN : 10-117-23-13-0002 <br /> LEGAL DESC : FOXH[LL <br /> : LOT 002 BLOCK OOl <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 800.00 <br /> NOTE: SEPARAI�E PERMITS Ri:QU1RED: ELECTRICAL(STA"I'E) <br /> BUILD WALI,AND CLOSE"1'FOR[3ASL;MEN"�BEDROOM-BUILD UP FLOOR <br /> APPLICANT PERMIT FEE SCHEDULE 34.75 <br /> PLAN REVIEW 22.59 <br /> ZIEGLER& KELLY RISCHE, DAVID STATE SURCHARGE(VALUATION) 0.40 <br /> 1 180 HERITAGE LA <br /> WAYZATA, MN 55391- TOTAL 57.74 <br /> Payment(s) <br /> CHECK 3468 57.74 <br /> OWNER <br /> ZIEGLER cX. KELLY RISCHE, DAVID <br /> 1180 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this penni[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and Ihe <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[his type ot�work <br /> shall be compied with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> rhe 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 eause. <br /> ` <br /> r-_..-) <br /> G2 `��, l _?�,�.�� �, a� � <br /> �Splicant Permitee Si n re Date Issue y Signature Date <br />