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CITY OF ORONO PERMIT NO.: 2009-0000i <br /> 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE ISSUED: OU16/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3225 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0067 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 1,041,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, MECHANICAL, SEPTIC.P[RGPLACG, <br /> LAWN IRRIGATION, WELL(STATE),GLECTRICAL(STATE) <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 6,120.75 <br /> CREEK HILL CUSTOM HOMES PLAN REVIEW 3,978.49 <br /> 15235 65TH PL N <br /> MAPLE GROVE, MN 55311- STATE SURCHARGE(VALUATION) 516.40 <br /> (763)553-0325 TOTAL 10,615.64 <br /> Minnesota State License#: 20415174 <br /> OWNER <br /> WEBER, AARON <br /> 3225 GRAHAM HILL RD <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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days ot�die date ot�issuance,or if construction is <br /> suspended for a period of 180 days at any time attcr work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at any time ��r due cause. <br /> . <br /> l � / / /� / v / / <br /> Applicant Pe mitee Signature Date Issucd E3y Si ture Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER AN DESCRIB ABOVE. <br />