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. �, CITY OF ORONO * Z 0 1 6 — 0 0 6 4 4 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 333 HOLLANDER RD <br /> PIN : 25-118-23-43-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1281 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> PLAN REVIEW 281.89 <br /> TANNER,JOHN&DONNETTE STATE SURCHARGE(VALUATION) 12.50 <br /> 333 HOLLANDER RD <br /> WAYZATA, MN 55391- TOTAL 728.06 <br /> Payment(s) <br /> CHECK 1206 728.06 <br /> OWNER <br /> TANNER,JOHN&DONNETTE <br /> 333 HOLLANDER 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 Ciry 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 ifconstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> / ^ <br /> - . <br /> „ ' � ; .. �...� ` / � , <br /> _ __�. <br /> pp i e mi ee S� nature Date Issue_ Signature Date <br />