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CITY OF ORONO * z m 1 5 — 0 � e 0 5 * <br /> _ 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2015 <br /> t ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 994 HUNT FARM RD <br /> PIN : 30-118-23-41-0012 <br /> LEGAL DESC : HUNT[NGTON FARM <br /> : LOT 001 BLOCK 006 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ADDN/REMODEL/REPA[R <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 60,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL <br /> LOWER LEVEL F[N[SH <br /> APPLICANT PERM[T FEE SCHEDULE 794.64 <br /> STATE SURCHARGE(VALUATION) 30.00 <br /> HAVEN RESIDENTIAL MANAGEMENT TOTAL 824.64 <br /> 4142 AVONDALE STREET Payment(s) <br /> MINNETONKA, MN 55345- CHECK 1896 824.64 <br /> (952)930-0421 <br /> Minnesota State License#: BUIL-BC635447 <br /> OWIYER <br /> LA[NG, LANCE&HILARY <br /> 994 HUNT FARM RD <br /> LONG LAKE, MN 55356- <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke t�y ' for due cause. ��� � <br /> �/ � / <br /> / . <br /> i / - -��-�- �k:-( <br /> � �l rs _t��: � -� /- . �.s c� � �� , �� i� <br /> Applicant P itee Signature ate Issued By Signa ure Date <br />