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,�_ CITY OF ORONO * 2 0 1 4 - 0 0 1 1 0 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERM�T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 125,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> LOWER LEVEL REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 1,206.75 <br /> LAKE COUNTRY BUILDERS, LTD PLAN REVIEW 784.39 <br /> 339 2ND STREET STATE SURCHARGE(VALUATION) 62.50 <br /> EXCELSIOR,MN 55331 TOTAL 2,053.64 <br /> (952)474-7121 Payment(s) <br /> Minnesota State License#: BUIL-20349679 CHECK 7146 2,053.64 <br /> OWNER <br /> O'KEEFE,JUSTIN&NICOLE <br /> 1453 PARK DRIVE <br /> MOIJND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 goveming 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 suthorized 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �'��~ � / / <br /> pp cant Permitee Signature Date Issued B ignature Date <br />