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CITY OF ORONO * 2 0 1 7 - 0 0 z 4 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3051 FARVIEW LA <br /> PIN : 04-117-23-33-0009 <br /> LEGAL DESC : FARVIEW <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> E3ATHROOM REMODEL ONLY <br /> APPLICANT PERMIT FEE SCHEDULE 278.77 <br /> PLAN REV[EW 181.20 <br /> DELANEY, DAVID&FRANCINE STATE SURCHARGE(VALUATION) 7.50 <br /> 3051 FARVIEW LA <br /> LONG LAKE, MN 55356- TOTAL 467.47 <br /> Payment(s) <br /> CHECK 5068 467.47 <br /> OWIYER <br /> DELANEY, DAVID&FRANCINE <br /> 3051 FARV[EW 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 Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> cxpire 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 l80 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 tim ue cause. . <br /> G%�2 l � � � � � � / � / <br /> Applicant Permitee Signature � Date Issued By nature Date <br />