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� "� CITY OF ORONO * z 0 1 7 - a 1 a 7 a * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/i l/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2725 PHEASANT RD <br /> PIN : 21-117-23-23-0024 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 1,775.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCI-�DULE 70.58 <br /> AFFORDABLE EGRESS WINDOWS PLAN REVIEW 45.88 <br /> 4035 APACHE DRIVE STATE SURCHARGE(VALUATION) 0.89 <br /> MEDINA,MN 55340- TOTAL 117.35 <br /> (612)6443671 Payment(s) <br /> Minnesota State License#:BUIL-BC639908 CHECK 11211 117.35 <br /> OWNER <br /> JORGENSEN,CHMICHAEL&MARGARET <br /> 2725 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 dces <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 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 d c � <br /> � �� /� ��� <br /> Applicant Permitee ignature Date Issued By i ature Date <br />