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• <br /> CITY OF ORONO I I I I II II11 II III II II II II II <br /> 2750 KELLEY PARKWAY * Z 1 S — 0 0 0 7 4 <br /> DATE ISSUED: 01/31/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1840 LAKEVIEW TER <br /> PIN : 27-118-23-42-0010 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> PLAN REVIEW 80.52 <br /> R,KORY STATE SURCHARGE(VALUATION) 2.50 <br /> 500 NOR <br /> 500 NORTH BRANCH ROAD <br /> MINNETRISTA,MN 55364- TOTAL 206.89 <br /> Payment(s) <br /> CREDIT CARD 0829 206.89 <br /> OWNER <br /> KOEHLER,KORY <br /> 500 NORTH BRANCH ROAD <br /> MINNETRISTA,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 /> 16\311_ /lei) 6('An) ' // /6 <br /> Applicant Permitee Signature Date Issued By S. ature Date <br />