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CITY OF ORONO * 2 0 1 6 - 0 1 z� <br /> � , 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 8 BLOCK 3 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 858,685.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECEiANICAL,SF,PTIC,FIREPLACE,WELL(STATE), ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND[NITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,514.67 <br /> NORTON HOMES PLAN REVIEW 201.34 <br /> 18215 45TH AVE N, STE D STATE SURCHARGE(VALUATION) 429.34 <br /> PLYMOUTH, MN 55446- TOTAL 6,145.35 <br /> (763)559-2991 Payment(s) <br /> Minnesota State License#: BUIL-BC639221 CHECK 6041 6,14535 <br /> OWNER <br /> Of:Norton Homes <br /> MAJKRAZAK,JEFF <br /> 6985 OAK RIDGE RD <br /> CORCORAN, MN 55340- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speci6cations,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related��ork 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 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. / <br /> ' � <br /> � " �:� �� — f <br /> ,.. �y-_ � ! - <br /> �..� ��� � �-G'i _�._._.... . ; � /-. .. <br /> v� .6'� _ � �l� l �-�� /� <br /> Applicant Permitee Signature Date Issued B ' nature Date <br />