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1 1 1! I I I I II 1111111111111111111 <br /> CITY OF ORONO * 20 1 8 - 00 1 65 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 540 BIG ISLAND <br /> PIN : 22-117-23-42-0001 <br /> LEGAL DESC : KATE B PLUMMERS SUBD KITCHELS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR • <br /> VALUATION : $ 10,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 201.32 <br /> STATE SURCHARGE(VALUATION) 5.00 <br /> WISCHMEIER,SHAWN TOTAL 206.32 <br /> 2851 WASHTA BAY ROAD <br /> EXCELSIOR,MN 55331- Payment(s) <br /> CHECK 1272 206.32 <br /> OWNER <br /> WISCHMEIER,SHAWN <br /> 2851 WASHTA BAY ROAD <br /> EXCELSIOR,MN 55331- <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 /> -- "`� 2 c1\ 6 A) <br /> /cc//8 <br /> Applicant Permitee Signature Date Issued By Si ure Date <br />