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CITY OF ORONO �Z 0 1 4 - 0 0 8 z 9 * <br /> . � 2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 145 MANOR CIR <br /> PIN : 04-117-23-11-0024 <br /> LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 90,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 981.75 <br /> WILLETTE BUILDING CO. PLAN REVIEW 638.14 <br /> 6074 COUNTY RD 6 STATE SURCHARGE(VALUATION) 45.00 <br /> MAPLE PLAIN,MN 55359- TOTAL 1,664.89 <br /> (952)472-4332 Payment(s) <br /> Minnesota State License#: BUIL-1804 CHECK 12431 1,664.89 <br /> OWNER <br /> NAFSTAD,ADAM&KRISTIN <br /> 145 MANOR CIR <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked any time for due cause. <br /> ��" / / <br /> A p�can ermitee Signature Date Issued By Si ure Date <br />