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CITY OF ORONO * Z 0 1 5 - 0 0 6 9 6 * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 25 BROWN RD S <br /> PIN : 03-117-23-21-0001 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 21,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:MECHANICAL,PLUMBMG, ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 371.75 <br /> PLAN REVIEW 241.64 <br /> ROBERT HOPF CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 10.50 <br /> 8784 KNOLLWOOD DR <br /> EDEN PRAIRIE,MN 55347- TOTAL 623.89 <br /> Minnesota State License#: BUIL-BC044597 Payment(s) <br /> CHECK 13025 623.89 <br /> OWNER <br /> OTTO&JOLLY NANDA, MICHAEL <br /> 25 BROWN RD S <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMEIYT <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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. �� /^//' <br /> � � <br /> 2 � � �� <br /> Applicant Pe ite i nature Date Issued By Si nature Date <br />