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CITY OF ORONO II I l Ill I II H II. 11111111 ll <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1050 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0011 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> IIELICAL PIERS UNDER DECK-REPAIR <br /> APPLICANT PERMIT FEE SCHEDULE 1 18.00 <br /> PLAN REVIEW 76.70 <br /> CARVER CONSTRUCTION INC STATE SURCHARGE(VALUATION) 2.50 <br /> 9586 GANDER LANE <br /> MINNETRISTA,MN 55375 TOTAL 197.20 <br /> (763)458-0954 Payment(s) <br /> Minnesota State License#: BUIL-20377469 CHECK 10148 197.20 <br /> OWNER <br /> NICKLOW,KONSTANDINOS&CRISTINA <br /> 1050 WILLOW VIEW DR <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 c forman with the State Building Code.This permit may be <br /> revoked at an time fo due cause. <br /> fD17I � • l /7// <br /> tir <br /> ... IA <br /> A�{c t Permitee Signature ate Iss id By Signature Date <br />