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� ' CITY OF ORONO * 2 0 1 6 - 0 0 0 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2016 <br /> ORONO,MN 5535Cr <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1375 PARK DR <br /> PIN : 07-117-23-41-0079 <br /> LEGAL DESC : SIDWELL ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 130,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> SEE BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 1,298.92 <br /> STATE SURCHARGE(VALUATION) 65.00 <br /> HANSEN HOMETECH INC. TOTAL 1,363.92 <br /> 7920 KERBER Payment(s) <br /> CHANHASSEN,MN 55317 CREDIT CARD 5215 1,363.92 <br /> (952)3940854 <br /> OWNER <br /> GEHL,LARRY <br /> 1375 PARK DR <br /> MOiJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pern►it is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 sepazate <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 I80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confortnance with the State Building Code.This permit may be <br /> revok at any time for ue cause. <br /> d e.r' c� � il� <br /> Applicant Pe tee Signature Date Issue B Signature Date <br />