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CITY OF ORONO * z 0 1 5 - 0 1 3 4 5 * <br /> , � , ' � 2750 KELLEY PARKWAY DATE ISSUED: OU05/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 LAKEV[EW PKWY <br /> PIN : 06-117-23-32-0004 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 701,771.00 <br /> NOTE: 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 4,690.42 <br /> PLAN REVIEW 297.10 <br /> NORTON HOMES STATE SURCHARGE(VALUATION) 350.89 <br /> 18215 45TH AVE N, STE D <br /> PLYMOUTH, MN 55446- TOTAL 5,338.41 <br /> (612)386-7661 Payment(s) <br /> Minnesota State License#: BUIL-BC639221 CHECK 14088 5,338.41 <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 goveming[his 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 y�ith the State Building Code.This permit may be ��j <br /> revoked at any time for dge�cause. <br /> / r . <br /> , ') '--f�'i`_ - � - �� � �.,,_ � �" l�" <br /> �.� G� l ��� .� ,� �--L.�`�L �� ,� � <br /> Applicant Permitee Signature Date Issued By SignAt�re Date <br />