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� , i <br /> CITY OF ORONO * 2 0 1 6 - 0 0 5 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2811 FARVIEW LA <br /> PIIY : 04-117-23-34-0003 <br /> LEGAL DESC : FARVIEW <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 168,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL ONLY <br /> APPLICANT PERMIT FEE SCHEDULE 1,53832 <br /> PLAN REVIEW 999.91 <br /> REVISION LLC STATE SURCHARGE(VALUATION) 84.00 <br /> 153 E LAKE STREET <br /> WAYZATA,MN 55391- TOTAL 2,622.23 <br /> (952)540-7150 Payment(s) <br /> Minnesota State License#: BUIL-BC639027 CHECK 12258 2,622.23 <br /> OWNER <br /> DANIELSON, SCOTT <br /> 2811 FARVIEW LA <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 becottte 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 afrer work has commenced. <br /> The applicant is sponsible for uring all required inspections are <br /> requested in c fo ance with State Building Code.This permit may be <br /> revoked at an time or due c se� <br /> � <br /> —L.- �v � l `� / <br /> Applicant P �ee Signature Date Issued By i nature Date <br />