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, CITY OF ORONO * 2 0 1 s - 0 1 0 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2016 <br /> ` ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1122 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0026 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 600,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,ELECTRICAL(STATE) <br /> SEE: BUILDER ACKNOWLEDGEMENT FORM AND INITIAL <br /> APPLICANT PERMIT FEE SCHEDULE 4,154.92 <br /> STATE SURCHARGE(VALUATION) 300.00 <br /> DOVETAIL RENOVATIONS INC. S.A.C. 2,485.00 <br /> 3503 HENNEPIN AVE.S. <br /> MINNEAPOLIS,MN 5540& TOTAL 6,939.92 <br /> (612)377-3071 Payment(s) <br /> Minnesota State License#:BUIL-20099046 CREDIT CARD 7459 6,939.92 <br /> OW1�iER <br /> G&G Holding Co.Ltd. <br /> ARONSON,MARTHA <br /> 2021 HUMBOLDT AVE S <br /> MINNEAPOLIS,MN 55405- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pertnits. 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 aRer work has commenced. <br /> The applicant is responsible for assuring all requ'ved inspections are <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time for due cause. /9%/ <br /> ^nC�� � <br /> C<�I�-� I �i i�1�11� o , , <br /> Applicant Permitee Signature Date Issued By Signature Date <br />