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IiI <br /> ' 11 <br /> CITY OF ORONO I' 11111 <br /> * 2018 - 00232 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 430 BROWN RD S <br /> PIN : 03-117-23-42-0011 <br /> LEGAL DESC : STRONGHOLD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> VALUATION : $ 32,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 512.70 <br /> STATE SURCHARGE(VALUATION) 16.00 <br /> MCGOWAN DESIGN BUILD INC TOTAL 528.70 <br /> 11180 33RD CIRCLE NE Payment(s) <br /> ST MICHAEL,MN 55376- CHECK 5655 528.70 <br /> Minnesota State License#:BUIL-BC642682 <br /> OWNER <br /> BREHM,EDWARD&KRISTEN <br /> 430 BROWN RD S <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 /> , (c /e7.' <br /> cf: P1<-17 (2/17 ., .3 /I /!S" <br /> App li /Icant Permitee Signature Date ssue• .y Signature Date <br />