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CITY OF ORONO * 2017 - 00940 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2017 <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 NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 850,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE, ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,467.42 <br /> NOR-SON INC STATE SURCHARGE(VALUATION) 425.00 <br /> 700 LAKE STREET E TOTAL 5,892.42 <br /> WAYZATA,MN 55391- Payment(s) <br /> (952)767-7949 CHECK 220352 5,892.42 <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 be <br /> revoked at any time for due cause. g p <br /> pplicant Permitee S gnature Date Issued By Unature Date <br />