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' CITY OF ORONO <br /> " 2750 KELLEY PARKWAY * � 0 1 5 - 0 1 4 8 9 �k <br /> DATE ISSUED: 12/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 BLOCK 001 <br /> PERMTT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 750,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 4,942.42 <br /> STATE SURCHARGE(VALUATION) 375.00 <br /> NARR CONSTRUCTION,INC. TOTAL 5,317.42 <br /> P.O.BOX 5007 Payment(s) <br /> HOPKINS,MN 55343 CHECK 40309 5,317.42 <br /> (952)938-8781 <br /> Minnesota State License#:BUIL-3785 <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEME1vT 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. 7'his 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 become null and void if construction suthorized 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 /> requeste n c formance with the State Building Code.This perm't may be <br /> revo at time for due cause. n� <br /> j� ,� /U� <br /> : �, � �s /S� C� /'�,�:.c,� � /T� /�l� <br /> p� Permitee Si ature Date Issued By Signature Date <br />