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CITY OF ORONO * z 0 1 6 - 0 0 5 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/27/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 DEER RUN TR E <br /> PIN : 04-117-23-13-0014 <br /> LEGAL DESC : CRYSTAL BAY PRESERVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, F[REPLACE, ELECTRICAL(STATG) <br /> REPLACEFRONTSTOOP <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY,A FINAL INSPECTION MUST B MPLETED AND APPROVED AND ALL <br /> DISTURBED AREA ESTABLISHED WITH VEGETATION. NOTE: INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> STATE SURCHARGE(VALUATION) 2.00 <br /> SIERRA HOMES INC. TOTAL ll0.38 <br /> 22615 E. BETHEL BLVD NE Payment(s) <br /> BETHEL,MN 55005- CHECK 6191 110.38 <br /> (6l2)270-2722 <br /> Minnesota State License#: BU[L-BC005126 <br /> OWNER <br /> STAHL&CYNTHIA ARNOLD, PETER <br /> 2755 DEER RUN TR E <br /> LONG LAKE,MN 55356- <br /> AGREEMENT A1YD 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 goveming 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. <br /> � Zg7 � � � <br /> `� �a� �C � � i �'6 <br /> Applicant Permitee Signatu Date Issued Signature Date <br />