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.�'J``r � <br /> CITY OF ORONO * 2 0 1 6 - 0 1 0 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 495 NORTH ARM DR <br /> PIN : 06-117-23-31-0014 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 21 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 : $ 700,000.00 <br /> NOTE: SEPTIC AREA: <br /> SEPERATE PREMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,SEPTIC,WELL&ELECTRICAL <br /> NOTE:SEE BUILDERS ACKNOWLEGEMENT FORM,READ AND INITIAL <br /> APPLICANT PERMIT FEE SCHEDULE 4,679.92 <br /> NORTON HOMES STATE SURCHARGE(VALUATION) 350.00 <br /> 18215 45TH AVE N,STE D TOTAL 5,029.92 <br /> PLYMOUTH,MN 55446- Payment(s) <br /> (612)386-7661 CHECK 1810 5,029.92 <br /> Minnesota State License#:BUIL-BC639221 <br /> OW1�1ER <br /> Norton Homes <br /> NORTON,CHRIS <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 laws and ordinances goveming 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 l80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an t'me for due cause. <br /> _ � L l� � �Z�� l�o <br /> Applicant Permitee Signature Date Issued B gnature Date <br />