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CITY OF ORONO * 2 PJ 1 6 - 0 1 S 6 1 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 03/O1/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 290 CRESTVIEW AVE <br /> PIIY : OS-117-23-14-0018 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <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 : $ 75,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 912.92 <br /> STATE SURCHARGE(VALUATION) 37.50 <br /> BETZ BUILDERS INC. TOTAL 950.42 <br /> 300 CRESTVIEW AVE. <br /> LONG LAKE, MN 55356 Payment(s) <br /> (612)221-2963 CHECK 7434 950.42 <br /> Minnesota State License#: BUIL-BC3515 <br /> OWNER <br /> HOCHSTEDLER, SCOTT <br /> 290 CRESTVIEW AVE <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 l80 days of the date of issuance,or if construetion is <br /> saspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsibie for assuring all required inspections are <br /> requ ted in conformance�yith the State Building Code.This permit may be <br /> revo ed any tim or u cause. <br /> � --_------' � _, <br /> � � � 1 <br /> (?.'l � � ��_.. � � � � �� (`�C�+��. �1 � '�--��� � =,�-' J/ � / � � <br /> ��� <br /> A ic t Permit e 'gnature Date Issued By Signature Date <br />