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CITY OF ORONO * 2 0 1 7 - 0 0 4 z 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/10/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3490 BIRCH LA <br /> PIN : 08-117-23-43-0002 <br /> LEGAL DESC : BALDUR PARK <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 : $ 180,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 1,613.92 <br /> STATE SURCHARGE(VALUATION) 90.00 <br /> TREHiJS BUILDERS TOTAL 1,703.92 <br /> 3017 4TH AVE S Payment(s) <br /> MINNEAPOLIS,MN 55408- <br /> (612)729-2992 CHECK 38255 1,703.92 <br /> Minnesota State License#:BUIL-BC001474 <br /> OWNER <br /> MISCHKE,TODD <br /> 3490 BIRCH LA <br /> WAYZATA,NIN 55391- <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 dces <br /> not grant perrnission 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 confortnance with the State Building Code.T'his permit may be <br /> revoked at any time for due caus <br /> �' S'l�r�� � ��L� i � <br /> Applicant Permitee Signature Date Issued By ignature Date <br />