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�.�� CITY OF ORONO * Z 0 1 6 — 0 PJ 4 1 z * <br /> T i 2750 KELLEY PARKWAY DATE ISSUED: OS/3U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1830 SHORELINE DR <br /> PIN : 10-117-23-42-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 356 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTNITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,575,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASL' SEE AND INITIAL NEW BU[LDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 8,669.92 <br /> STONEWOOD DESIGN BUILD STATE SURCHARGE(VALUATION) 730.00 <br /> 7407 WAYZATA BLVD S.A.C. 2,485.00 <br /> MINNEAPOLIS,MN 55426- TOTAL 11,884.92 <br /> (952)697-5075 Payment(s) <br /> Minnesota State License#: BUIL-BC594315 CHECK 14088 11,884.92 <br /> OW1vER <br /> TUFAA&NEDIYO SADO,TASHITTA <br /> 1224 CEDAR POINTE DR N <br /> MINNETONKA, MN 55305- <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 [he <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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wit e State Building C This permit may be <br /> revoked at any time for use. � <br /> i� '� <br /> � �c�l''�� "J `t- � Z; �l�� l � 5U <br /> App ' ant Permitee Sign tur Date Issued ignature Date <br />