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, . CITY OF ORONO * 2 0 1 7 - 0 0 0 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU3U2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1212 ARBOR ST <br /> PIN : 10-117-23-24-0022 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> BASEMENT FINISH-NEW BATHROOM <br /> APPLICANT PERMIT FEE SCHEDULE 232.30 <br /> PLAN REVIEW 151.00 <br /> 529 Indian Mound St Spydernt STATE SURCHARGE(VALUATION) 6.00 <br /> 401 LAKE ST E <br /> WAYZATA,MN 55391- TOTAL 389.30 <br /> Payment(s) <br /> <br /> OWNER <br /> 529 Indian Mound St Spydernt <br /> 401 LAKE ST E <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ' � _�� ! / �// / 7 <br /> Applicant Permitee Signature Date Issued By ature Date <br />