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� CITY OF ORONO * 2 0 1 5 - 0 1 3 3 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1]/02/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 577 PARK LA <br /> PIN : 06-117-23-41-0046 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 012 BLOCK 006 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 24,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICL(STATE) <br /> KITHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 418.22 <br /> PLAN REVIEW 271.84 <br /> FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 12.00 <br /> 1380 DUCKWOOD DRIVE <br /> EAGAN,MN 55123- TOTAL 702.06 <br /> (612)710-0391 Payment(s) <br /> Minnesota State License#:BUIL-20460771 CHECK 4880 702.06 <br /> OWNER <br /> TEELE&AMY SULLIVAN-TEELE,BRENT <br /> 577 PARK LA <br /> LONG LAKE,MN 55356- <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 permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this rype 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 pennit may be <br /> revoked at any time for due cause <br /> �� �� � �o t� � l� � Il � �-��� <br /> Applicant Permitee Si re ate Issued By �gnature Date <br />