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CITY OF ORONO * 2 0 1 7 - 0 0 4 4 7 * <br /> , � ' 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3320 NAVARRE LA <br /> PIN : 17-117-23-44-0059 <br /> LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 3,000.00 <br /> NO"1'E: SEE ATTACHED BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.50 <br /> CUBE, [NC <br /> 4825 HANOVER ROAD TOTAL 94.39 <br /> MOUND, MN 55364- Payment(s) <br /> (651)270-3199 CHECK 7864 94.39 <br /> Minnesota State License#: BUIL-650923 <br /> OWNER <br /> CUBE INC. <br /> 4825 HANOVER ROAD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 specitied 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 atter 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 t' f due cause. <br /> ` ;� �v�/7 / � � ��-7 �� <br /> pl' t Permitee Si e Date [ssuecl By Signature Date <br />