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CITY OF ORONO 11111111111111111111111 [i I I I I 1 1I1 I <br /> * 20 1 8 - 000 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/15/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3325 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0018 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> VALUATION : $ 190,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> REMODEL/ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 1,676.92 <br /> OLSON,TODD&ANGIE STATE SURCHARGE(VALUATION) 95.00 <br /> 3325 CRYSTAL BAY RD TOTAL 1,771.92 <br /> WAYZATA,MN 55391- Payment(s) <br /> CHECK 5131 1,771.92 <br /> OWNER <br /> OLSON,TODD&ANGIE <br /> 3325 CRYSTAL BAY RD <br /> WAYZATA,MN 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 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 conformance with the State Building Code.This permit may be <br /> rkerevoe for cause. <br /> 2/15) 'at:17(67) / 15/18 <br /> Applicant Permitee Signature Date Issued By Si ature Date <br />