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CITY OF ORONO I 1 I I II I l <br /> * 2I 1 g 00 3 I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/11/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3955 CHERRY AVE <br /> PIN : 08-117-23-33-0098 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,000.00 <br /> NOTE: TRUSS REPAIRS <br /> APPLICANT PERMIT FEE SCHEDULE 43.30 <br /> PLAN REVIEW 28.15 <br /> ATLAS HOMES INC STATE SURCHARGE(VALUATION) 0.50 <br /> 7082 EAST FISH LAKE RD <br /> MAPLE GROVE,MN 55311- TOTAL 71.95 <br /> (763)425-3333 Payment(s) <br /> Minnesota State License#: BUIL-BC20269686 CHECK 5014 71.95 <br /> OWNER <br /> GERHARD,TODD&LAURA <br /> 3955 CHERRY AVE <br /> MOUND,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 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. <br /> 1 / ( ( �} ( /2E I / // / / <br /> d . � <br /> Applicant PermitSignature Date Issu y Signature Date <br />