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, , CITY OF ORONO * 2 0 1 5 - 0 1 1 4 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 LAKEVIEW TER <br /> pIN : 27-118-23-42-0010 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 9,000.00 <br /> NOTE: PRIOR TO RELEASE OF THE ESCROW MONEY,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL: <br /> � <br /> APPLICANT PERMIT FEE SCHEDULE 185.87 <br /> STATE SURCHARGE(VALUATION) 4.50 <br /> EXCEPTIONAL HOMES&REMODELING, INC TOTAL 190.37 <br /> 2890 QUEENSLAND LANE N Payment(s) <br /> MAPLE GROVE, MN 55311- CHECK 3253 190.37 <br /> (612)221-5994 <br /> Minnesota State License#: BUIL-20626822 <br /> OWIVER <br /> MERNIK, WILLIAM&LISA <br /> 1840 LAKEVIEW TER <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 sepazate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied wi[h 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 afrer 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 /> !C'%�"�-�- � � �--��"�1 �' ��, /l r�- <br /> �� � <br /> A p icant Permitee Signature Date Issued ignature Date <br />