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► � CITY OF ORONO * 2 0 1 5 - 0 1 2 1 1 * <br /> , , 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1421 NORTH ARM DR <br /> PIN : 0'7-117-23-44-0073 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 18,000.00 <br /> NOTE: DECK <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY, AN AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTE� <br /> AND APPROVED. INITIAL: � <br /> .� <br /> APPLICANT PERMIT FEE SCHEDULE 325.28 <br /> STATE SURCHARGE(VALUATION) 9.00 <br /> ERIC MORTENSON CONSTRUCTION TOTAL 334.28 <br /> 212 22ND AVE NE Payment(s) <br /> MINNEAPOLIS,MN 55418- CREDIT CARD 3984 334.28 <br /> (612)747-2001 <br /> Minnesota State License#:BUIL-643510 <br /> OWNER <br /> DJY Construction <br /> 3452 PILGRIM LN N <br /> PLYMOUTH,MN 55441- <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 pertnit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction 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 /> revoked at any time for due cause. <br /> 6 ld � S�/S <br /> Applicant Permitee Signature Date Issu y Signature Date <br />