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I1iiiiiiaiii1i ii ii iliiiliiiii iii II1 <br /> CITY OF ORONO * 2016 - 00175 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 332 WESTLAKE ST <br /> PIN : 05-117-23-23-0039 <br /> LEGAL DESC : HILLSIDE PARK <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 : $ 20,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> REPAIR WATER DAMAGE(INTERIOR) <br /> APPLICANT PERMIT FEE SCHEDULE 356.22 <br /> PLAN REVIEW 231.54 <br /> BICHANICH,JENNIFER STATE SURCHARGE(VALUATION) 10.00 <br /> 332 WESTLAKE ST <br /> LONG LAKE,MN 55356- TOTAL 597.76 <br /> Payment(s) <br /> CHECK 2022 597.76 <br /> OWNER <br /> BICHANICH,JENNIFER <br /> 332 WESTLAKE ST <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 conformance with the State Building Code.This permit may be i <br /> revoked at any time for due cause. <br /> '2 __ <br /> , ../., <br /> Q;� 11 <br /> '14,V+ `qr /ilk ( IP._., --it. t /v /(:- <br /> p <br /> (�_ <br /> p icant Pe itee Signature Date Issued By Sigt(�(ture Date <br /> J <br />