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CITY OF ORONO * 2 0 1 7 - 0 0 4 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/05/2017 <br /> ' ORONO,MN 5535(r <br /> ` 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4680 NORTH ARM DR W <br /> PIN : 06-117-23-23-0006 <br /> LEGAL DESC : LINPLATTED 06 117 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 : $ 11,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 216.81 <br /> CHRISTOPHER WHITE STATE SURCHARGE(VALUATION) 5.50 <br /> 1069 TRADITION COURT TOTAL 222.31 <br /> CHASKA,MN 55318- Payment(s) <br /> (612)801-6293 CHECK 6509 222.31 <br /> Minnesota State License#: BUIL-CR647825 <br /> OWNER <br /> BENNETT,RYAN <br /> 4680 NORTH ARM DR W <br /> MOLTND,MN 55364 <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 nuil and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consttuction 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 <br /> revoked at any time for due cause. ]�j7 <br /> �f// <br /> .S Zt9 l l \�Jl �-x�-��� �/ � / �`l <br /> Applicant Perrr►itee Signature ate Issued By Signature Date <br />