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CITY OF ORONO * Z 0 1 6 — 0 PJ 8 1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 NORTH ARM DR <br /> PIIv : 06-117-23-43-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.362 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> BUILD OUT INTERIOR WALLS IN BASEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 77.40 <br /> GIRARD,SANDRA&BRIAN PLAN REVIEW 50.31 <br /> 680 NORTH ARM DR STATE SURCHARGE(VALUATION) 1.00 <br /> MOiJND,MN 55364- TOTAL 128.71 <br /> Payment(s) <br /> CHECK 10710 128.71 <br /> OWNER <br /> GIRARD, SANDRA&BRIAN <br /> 680 NORTH ARM DR <br /> MOiJND,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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant perniission 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 construc[ion is <br /> suspended for a period of l80 days at any time after 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 /> � . <br /> revoked at any time for due ca� 1 .----- <br /> , � ,...,_.. <br /> , <br /> � i .,r% `; . ._. <br /> '��,.��--'' � 2 � /���e">�- , ___�-�;� S� � iZ-/ i , <br /> A plicant er �ee Signature Da e Issued Signature Date <br />