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CITY OF ORONO * Z 0 1 6 - 0 0 6 Z 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2016 <br /> � ORONO, MN 55356- <br /> t=, <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1360 RAILROAD AVE <br /> PIN : 10-117-23-31-0007 <br /> LEGAL DESC : LJNPLATTED 10 117 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 : $ 76,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMB[NG,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 920.80 <br /> STATE SURCHARGE(VALUATION) 38.00 <br /> LEMMERMAN CONST. INC. TOTAL 958.80 <br /> 9037 CTY. RD 17 SE Payment(s) <br /> DELANO, MN 55328 CREDIT CARD 9952 958.80 <br /> (763)972-3003 <br /> Minnesota State License#: BUIL-4854 <br /> OWNER <br /> TWELVES, STEVE&SALLY <br /> 1360 RAILROAD AVE <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 assu � all required inspections are <br /> requested in conformance with e State Building Code.This permit may be <br /> revoked at any time for due c se. <br /> J%���` ...� _' ��� -- � � <br /> � - `�" � <br /> -��v� � � ,�r �..�1� iJ �.� l l <br /> A lica t Permitee Sig ure Date Issued By Signature Date <br /> i <br />