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CITY OF ORONO *� s _ 0 e M � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 3020 WATERTOWN RD <br /> PIN 33-118-23-33-0001 <br /> LEGAL DESC UNPLATTED 33 118 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 : $ 118,705.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 1,229.62 <br /> REVISION LLC STATE SURCHARGE(VALUATION) 59.35 <br /> 153 E LAKE STREET TOTAL 1,288.97 <br /> WAYZATA,MN 55391- Payment(s) <br /> (952)540-7150 CHECK 14472 1,288.97 <br /> Minnesota State License#:BUIL-BC639027 <br /> OWNER <br /> HAUGEN,GREG&CYNTHIA <br /> 3020 WATERTOWN RD <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 /> exp n•en me null and void if construction authorized is not <br /> cnmenced within days of the date of issuance,or if construction is <br /> s ended for a period o 180 days at any time after work has commenced. <br /> T a ' ant is responsib for assuring all required inspections are <br /> req ested ance with the State Building Code.This permit may be <br /> vo ed at an e ause. <br /> Ap ' an ermit ignature Date Issued B ignature Date <br />