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. � <br /> .r: � ` CITY OF ORONO * Z 0 1 6 — 0 0 5 3 3� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2016 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 940 NORTH ARM DR <br /> PIIV : 07-117-23-11-0014 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 145,000.00 <br /> NOTE: THIS IS A MANUFACTURED HOME <br /> SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND IN[TIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> RF.CLAIM DEMO CREDIT FROM PERMIT#2011-01568 12/27/11 <br /> APPLICANT PERMIT FEE SCHEDULE 1,393.42 <br /> STATE SURCHARGE(VALUATION) 72.50 <br /> VILLAMIL CONSTRUCTION CO. TOTAL 1,465.92 <br /> 5535 COLINTY ROAD 151 Payment(s) <br /> MINNETRISTA,MN 55364- CREDIT CARD 2241 1,465.92 <br /> (612)221-7511 <br /> Minnesota State License#: BUIL-20633780 <br /> OWNER <br /> OLSHANSKY,ROMAN <br /> 76 KINGSVIEW LANE N <br /> PLYMOUTH,MN 55447- �j�"V � � C'�`-'�_ <br /> AGREEMENT AND SWORN STATEMENT /�� W� <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and speciYications,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 r� <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 Bu'ding Code.This permit may be <br /> revoked at any time for due cause. <br /> � (;� � � , <br /> pp icant Permitee Si a re ate ssued Signature Date <br />