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, �, CITY OF ORONO * 2 0 1 s — 0 0 e 1 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2016 <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 : $ 55,420.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY ALL PERMITS ASSOCIATED WITH THE ADDITIN MUST BE COMPLETED AND <br /> RECENE FINAL INSPECTION. INITIAL`/"` <br /> (J� <br /> �,. <br /> _- -� <br /> APPLICANT PERMIT FEE SCHEDULE 763.20 <br /> STATE SURCHARGE(VALUATION) 27.71 <br /> CRAIG JANSMA TOTAL 790.91 <br /> 14848 KRAL ROAD Payment(s) <br /> MINNETONKA,MN 55345- CREDIT CARD 4742 790.91 <br /> Minnesota State License#:BUIL-BC431870 <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 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 rype 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 /> r�� �c � 7 ��,� <br /> � � <br /> Ap ' e ee Signature Date Issued By gnature Date <br />