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'• �I CITY OF ORONO PERMIT NO.: 2009-00513 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : OS-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 293,600.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE, SEWER CONNECTION,LAWN IRRIGATION, <br /> WELL(STATE),ELECTRICAL(STATE) <br /> ADVANCE PLAN REVIEW PERMIT 2009-000512$1443.49 <br /> ESCROW PAID PERMIT-2009-00585 <br /> APPLICANT PERMIT FEE SCHEDULE 2,220.75 <br /> ROLLINGBROOK HOMES <br /> 7378 WHITEHALL RD STATE SURCHARGE(VALUATION) 146.80 <br /> SHAKOPEE, MN 55379 TOTAL 2,367.55 <br /> (763)227-0700 <br /> Minnesota State License#: 20296303 <br /> OWNER <br /> AZAD,ALISHAH <br /> 200 BEDERWOOD 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 /> S[ate 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[he S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / � / �/ <br /> Applicant Permitee Signature Date ssu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />