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CITY OF ORONO * 2 0 1 6 - 0 0 6 6 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS 155 TRUFFULA TR <br /> PIN 33-118-23-44-0040 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 30,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> BASEMENT/KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> PLAN REVIEW 318.58 <br /> FINISHED BASEMENT CO. STATE SURCHARGE(VALUATION) 15.00 <br /> 5600 EXCELSIOR BLVD <br /> MINNEAPOLIS,MN 55416- TOTAL 823.70 <br /> (651)224-7000 Payment(s) <br /> Minnesota State License#:BUIL-20460771 CHECK 4967 823.70 <br /> OWNER <br /> STAGGS,JEFF <br /> 155 TRUFFULA TR <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 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 uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> —� J <br /> Af plicant Permitee Signa ate I Issued By Signature Date <br />