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IHi11 11 � �� �� IIIII II II II II <br /> CITY OF ORONO * 20 1 8 - 00 1 27 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/26/2018 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1580 BOHNS POINT RD <br /> PIN : 09-117-23-33-0008 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> VALUATION : $ 150,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 1,424.92 <br /> STATE SURCHARGE(VALUATION) 75.00 <br /> WEST ERA CONSTRUCTION TOTAL 1,499.92 <br /> 1211 WINDRUSH ROAD <br /> Payment(s) <br /> BUFFALO,MN 55313- <br /> (763)286-1380 CHECK 7202 1,499.92 <br /> Minnesota State License#:BUIL-BC668680 <br /> OWNER <br /> LARSON,WILLIAM <br /> 1580 BOHNS PT RD <br /> WAYZATA,MN 55391- <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 /> A t a( lY <br /> Applicant Permitee Signature Date Issued By ature Date <br />