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CITY OF ORONO * 2 10 I I 181II I I LIQ I I I I II9I II 141 II <br /> * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/16/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1300 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0017 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 390,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> ADDITIONS <br /> APPLICANT PERMIT FEE SCHEDULE 2,936.92 <br /> STATE SURCHARGE(VALUATION) 195.00 <br /> WELCH FORSMAN ASSOCIATION TOTAL 3,131.92 <br /> 6026 PILLSBURY AVE S <br /> Payment(s) <br /> MINNEAPOLIS,MN 55402- CREDIT CARD 1460 3,131.92 <br /> (612)827-4455 <br /> Minnesota State License#: BUIL-BC005890 <br /> OWNER <br /> FERNDALE PROPERTIES LLC <br /> 20840 PRAIRIE HILLS LANE <br /> PRIOR LAKE,MN 55372- <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 /> revoked at any time for due cause. <br /> iftb 3 / /( � /S` <br /> A.. scant 'e /Signature Date Issu�y Signature Date <br />