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, CITY OF ORONO * 2 0 1 6 - 0 1 4 2 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADCIRESS : 1415 PARK DR <br /> PIN : T000162 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT MB BLOCK MB <br /> PERM IT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 223,274.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,MECHAN[CAL, ELECTRICAL(STATE) <br /> ADDITION TO HOME <br /> APPLICANT PERMIT FEE SCHEDULE 1,891.12 <br /> PLAN REVIEW 438.17 <br /> R HOUSE DESIGN BUILD STATE SURCHARGE(VALUATION) 111.64 <br /> P.O. BOX 1153 <br /> CHANHASSEN, MN 55317- TOTAL 2,440.93 <br /> (952)393-4667 Payment(s) <br /> Minnesota State License#: BUIL-BC678783 CREDIT CARD 5428 2,440.93 <br /> OWNER <br /> BRANTER, BRIAN <br /> 1415 PARK DRIVE <br /> MOLTND, 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 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 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(SO days at any time after work has commenced. <br /> The applicant is responsible for assuring alI required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an time fos-A�+e..c�g""" --�...., <br /> , <br /> Y �J <br /> ,...... .. �_ `r <br /> � -:i�' �': �Z/ S /W � /�'�. ��� ! L--Z--�'_ ��--��� /c7� l� l/�� <br /> 1 <br /> Applicant Permitee Signature _- Date I ss ued By Signature Date <br />