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, <br /> • � CITY OF ORONO * 2 0 1 7 - 0 0 4 2 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/09/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 280 HOLLANDER RD <br /> PIN : 25-118-23-43-0012 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,800.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> REMOVE WALL AND ADD DECORATIVE BEAMS <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> HOME BUILDING AND REMODELING EXPERT PLAN REVIEW 6038 <br /> 1143 SOUTH SHORE DR STATE SURCHARGE(VALUATION) 1.40 <br /> PLYMOUTH,MN 55441- TOTAL 154.67 <br /> Minnesota State License#: BUIL-BC675372 Payment(s) <br /> CREDIT CARD 5718 154.67 <br /> OWNER <br /> GUNDERSON,MOX&GRETA <br /> 280 HOLLANDER RD <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not speci6ed hereia 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 /> G /`�� �� l � � <br /> Applicant Permitee Signature Date Issued ignature Date <br />