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, CITY OF ORONO * 2 0 1 7 - 0 0 0 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/24/2017 <br /> ' ORONO, MN 55356- <br /> ` (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 NORTH ARM DR <br /> PIN : 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 /> ACTIV[TY : 434-RESIDENTIAL <br /> VALUATION : $ 32,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL <br /> REMODEL MASTER BATH/1/2 BATH, RESIDING,RF-DECKING <br /> APPLICANT PERMIT FEE SCHEDULE 512.70 <br /> GIRARD, SANDRA&BRIAN PLAN REVIEW 61.44 <br /> 680 NORTH ARM DR STATE SURCHARGE(VALUATION) 16.00 <br /> MOUND, MN 55364- TOTAL 590.14 <br /> Payment(s) <br /> CHECK 10463 590.14 <br /> OWNER <br /> GIRARD, BR[AN& SANDRA <br /> 680 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEME1vT AND SWORiY 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. c <br /> _ <br /> r/ � C_,�/� �/j�,� �`L � � <br /> (\ r� �1�� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />