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CITY OF ORONO I I I II I l I I I I I1I I I I 1 I I 1 I 1 I I T <br /> * 2016 - 00653 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1030 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0012 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 3,300.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> PLAN REVIEW 70.45 <br /> ON-POINT CONSTRUCTION&REMODELING STATE SURCHARGE(VALUATION) 1.65 <br /> 15849 MADISON STREET NE <br /> HAM LAKE,MN 55304- TOTAL 180.48 <br /> Minnesota State License#:BUIL-BC693355 Payment(s) <br /> CREDIT CARD 8271 180.48 <br /> OWNER <br /> WALLANDER,RAPHAEL&LAURA <br /> 1030 WILLOW VIEW DR <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 Building Code.This permit may be <br /> revoked at any time for dueo ause. /YYJ <br /> � ` R�t-��� ; / 9 / / (o <br /> la <br /> pplicant P itee Signature ate Issued By Signature Date <br />