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CITY OF ORONO I*I 2018 - 00138 * <br /> I I I I I I I II II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4105 HIGHWOOD RD <br /> PIN : 07-117-23-44-0014 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,SEWER,WELL(STATE),ELECTRICAL(STATE) <br /> MAINTAIN RE-PRINTED ORIGINAL PERMIT CARD FOR PERMIT 2017-00771 ON SITE WITH CURRENT CARD. <br /> APPLICANT PERMIT FEE SCHEDULE 232.30 <br /> STATE SURCHARGE(VALUATION) 6.00 <br /> PETERSON,JASON TOTAL 238.30 <br /> 4105 HIGHWOOD RD <br /> Payment(s) <br /> MOUND,MN 55364- CREDIT CARD 4704 238.30 <br /> OWNER <br /> PETERSON,JASON <br /> 4105 HIGHWOOD RD <br /> MOUND,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 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 r=.ponsible for assuring all required inspections are <br /> requested in co 9rmance with the State Building Code.This permit may be <br /> rev, e• : any e for due cause. <br /> kt4 <br /> A,plicant '`-rmitee Signa i'�" Date Issue/Signature Date <br />