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CITY OF ORONO *® 5 - 0 0 8 6 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3745 TOGO RD <br /> PIN : 17-117-23-31-0046 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 009 BLOCK 010 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 3,316.80 <br /> NOTE: VAPOR BARRIER FOR CAWL SPACE <br /> NOTE: FOAM INSULATION SHALL BE PROTECTED BY IGNITION BARRIER OR TESTED TO UL1040,UL1715 INITIAL: <br /> e <br /> CL <br /> o� <br /> APPLICANT PERMIT FEE SCHEDULE 108.42 <br /> PLAN REVIEW 70.47 <br /> COMPLETE BASEMENT SYSTEMS STATE SURCHARGE(VALUATION) 1.66 <br /> 54004 LOREN DRIVE <br /> MAIL-IN FEE 2.00 <br /> MANKATO,MN 56001- <br /> (507)387-0500 TOTAL 182.55 <br /> Minnesota State License#: BUIL-143377 Payment(s) <br /> CREDIT CARD 5821 182.55 <br /> OWNER <br /> WERNER,CHRISTOPHER&KRISTINA <br /> 3745 TOGO RD <br /> WAYZATA,MN 55391- <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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />