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CITY OF ORONO II 11 III1I4I. I[ III H <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: (12/14/20]4 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 70 WEAR LA <br /> PIN : 04-117-23-21-0019 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 40,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 574.25 <br /> PLAN REVIEW 373.26 <br /> SIMCO CONSTRUCTION INC STATE SURCHARGE(VALUATION) 20.00 <br /> 7350-1 52ND LANE NW <br /> RAMSEY,MN 55303- TOTAL 967.51 <br /> (763)219-7529 Payment(s) <br /> Minnesota State License#: BUIL-BC637544 CREDIT CARD 9218 967.51 <br /> OWNER <br /> PFEIFFER,JASON&JONI <br /> 70 WEAR LN <br /> LONG LAKE, MN 55356- <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 con'•rman' with the State Building Code.This permit may be <br /> revoked at any me '•- •ue cause. <br /> / ay409 <br /> A plic.� t Pei t. Si nature Date Issued By SI ature Date <br />