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! � <br /> � ' CITY OF ORONO * Z 0 1 7 - 0 0 6 0 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3017 NORTH SHORE DR <br /> PIN : 09-117-23-32-0002 <br /> LEGAL DESC : CORONADO BEACH LK MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATIOIV : $ 2,500,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL, FIREPLACE,SEWER CONNECTION,WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE: PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 12,554.92 <br /> SWANSON HOMES STATE SURCHARGE(VALUATION) 1,050.00 <br /> 1360 HAMEL ROAD S.A.C. 2.485.00 <br /> MEDINA, MN 55340- TOTAL 16,089.92 <br /> (763)478-0320 Payment(s) <br /> Minnesota State License#: BUIL-627982 CHECK 38496 16,089.92 <br /> OW1vER <br /> BLUE,JAMES <br /> 9610 SKY LA <br /> EDEN PRA[RIE, MN 55347- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which Ihis 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 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. �,'-r� <br /> ��R <br /> � �- �`�l � � � �� � l 7 <br /> Applicant Permitee ignature Dat Issued B ignature Date <br />