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CITY OF ORONO * 2 0 1 5 — 0 1 5 7 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 230 TONKA AVE <br /> PIN 05-117-23-14-0029 <br /> LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK <br /> LOT 000 BLOCK 002 <br /> PERMIT TYPE NEW STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SINGLE FAMILY <br /> ACTIVITY 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION $ 377,214.00 <br /> NOTE: SAC PAID#5108 05/04/1993 <br /> SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 2,861.32 <br /> PLAN REVIEW 217.04 <br /> EVERLAST ENTERPRISES INC. STATE SURCHARGE(VALUATION) 188.61 <br /> 4109 NORTH SHORE DR <br /> MOUND,MN 55364- TOTAL 3,266.97 <br /> Payment(s) <br /> (952)472-7287 � <br /> Minnesota State License#:BUIL-BC591566 CREDIT CARD 0474 3,266.97 <br /> OWNER <br /> Everlast Enterprises Inc <br /> 4109 NORTH SHORE DR <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 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 /> lac � <br /> i t Permitee Signakure Date Issued By Signatur Date <br />