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� _� <br /> � CITY OF ORONO * 2 0 1 6 - PJ 0 8 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 <br /> R 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 /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 125,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> REMODEL KITCHEN,DINING,FAMILY ROOM AND BATHROOM <br /> APPLICANT PERMIT FEE SCHEDULE 1,267.42 <br /> PLAN REVIEW 823.82 <br /> TANNER,JOHN&DONNETTE STATE SURCHARGE(VALUATION) 62.50 <br /> 333 HOLLANDER RD <br /> WAYZATA,MN 55391- TOTAL 2,153.74 <br /> Payment(s) <br /> CHECK 1144 2,153.74 <br /> OWNER <br /> TANNER,JOHN&DONNETTE <br /> 333 HOLLANDER RD <br /> WAYZATA,MN 55391- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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 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 or due cause. <br /> �y� ��1---- g ��j� �2G �� / � l b <br /> App' er►nitee Signature Date Issued y ature Date <br />