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� t , CITY OF ORONO * z 0 1 6 - 0 0 s z i * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/18/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4325 LAKEVIEW CT <br /> PIN : 06-117-23-43-0016 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 2 BLOCK 3 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 800,000.00 <br /> NOTE: SAC NOT REQUIRED,SEPTIC AREA <br /> SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,204.92 <br /> NORTON HOMES STATE SURCHARGE(VALUATION) 400.00 <br /> 18215 45TH AVE N, STE D TOTAL 5,604.92 <br /> PLYMOUTH,MN 55446- Payment(s) <br /> (612)386-7661 CHECK 14462 5,604.92 <br /> Minnesota State License#: BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 responsibl for assuring all required inspections are <br /> requeste n co formance 'ith the State Building Code.This permit may be <br /> revoke at an�ime,€�a�.du cause. <br /> fN " <br /> � �/ ! ° _ -=a� � �' � l g�l (o <br /> Appli ant Permitee Signature Date Issued ignature Date <br />