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CITY OF ORONO * 2016 - 01480 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 01/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 500 WILLOW DR S <br /> PIN 03-117-23-32-0017 <br /> LEGAL DESC N/A <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE ACCESSORY STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE GUEST HOUSE <br /> ACTIVITY 214-OTHERNONHOUSEKEEPING SHELTER <br /> VALUATION $ 280,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,WELL,ELECTRICAL(STATE) <br /> GUEST HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 2,243.92 <br /> STATE SURCHARGE(VALUATION) 140.00 <br /> NOR-SON INC TOTAL 2,383.92 <br /> 700 LAKE STREET E Payment(s) <br /> WAYZATA,MN 55391- CHECK 215148 2,383.92 <br /> (952)767-7949 <br /> Minnesota State License#: BUIL-BC001969 <br /> OWNER <br /> MERRY,GRAHAM <br /> 3750 HUNTINGTON AVE S <br /> ST LOUIS PARK,MN 55416- <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 he <br /> revoked at any time r due cause. <br /> S3 <br /> Applicant eEmitee Signature Date Issued By 19griature Date <br />