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CITY OF ORONO * 2 r� 1 6 - 0 1 3 6 8 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2080 SALEM CT <br /> PIN : 27-118-23-31-0016 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 48,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELEC'IRICAL(STATE) <br /> [NTERIOR RI:MODEL <br /> APPLICANT PERMIT FEE SCHEDULE 693.34 <br /> PLAN REVIEW 450.67 <br /> HONEYWOOD BUILDERS STATE SURCHARGE(VALUATION) 24.00 <br /> 6566 SHADOW LANE <br /> CHANHASSEN,MN TOTAL 1,168.01 <br /> (612) 865-1048 Payment(s) <br /> CHECK 12080 1,168.01 <br /> OWNER <br /> HIRSCHBERG,LAURA&ROBB <br /> 2080 SALEM CT <br /> LONG LAKE,MN 55356- <br /> AGREEMEiYT AND SWORN STATEMENT <br /> The work for Hhich this pemiit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <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 /> � � � _ ' ��� � �) �� �` . � ��� <br /> � <br /> �,. , /�� c� �� � ��q,�� � ��= � , _ , � �- <br /> Appl' ant Permitee ' �e . Date Issued By Signature Date <br /> � <br />