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� � CITY OF ORONO * 2 0 1 7 - a 0 0 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 0?✓17/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4705 AUGUSTA ST <br /> pIN : 06-117-23-32-0006 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 700,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,SEPTIC,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 4,679.92 <br /> STATE SURCHARGE(VALUATION) 350.00 <br /> NORTON HOMES TOTAL 5,029.92 <br /> 18215 45TH AVE N,STE D Payment(s) <br /> PLYMOUTH,MN 55446- CHECK 42654 5,029.92 <br /> (763)559-2991 <br /> Minnesota State License#:BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 conswction 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 responsibl for assuring all required inspections aze <br /> request in�,conformanc ith the State Building Code.This permit may be <br /> revok d at an time r cause. <br /> Z-��-�7 i i <br /> Appli t Permitee ignature Date Issued By Signature Date <br />