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11 <br /> • CITY OF ORONOi' ''� �' �' 1 ' <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 7 5 <br /> DATE ISSUED: 07/10/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 • <br /> ADDRESS : 615 ORCHARD PARK RD <br /> PIN : 31-118-23-11-0006 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 22,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> BATHROOM REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 387.20 <br /> PLAN REVIEW 251.68 <br /> D B RASKOB CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 11.00 <br /> 2864 ARDMORE AVE <br /> MAPLE PLAIN,MN 55359- TOTAL 649.88 <br /> (763)479-1393 Payment(s) <br /> Minnesota State License#:BUIL-3481 CREDIT CARD 9975 649.88 <br /> OWNER • <br /> LANG,MR&MRS KEVIN <br /> 615 ORCHARD PARK RD <br /> LONG LAKE,MN 55356- <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 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 /> 11191 <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is ..ns .le for assuring all required inspections are <br /> requested in•.nforman• with the State Building Co . is permit may be / <br /> revoked: any time fo due cause! 141 <br /> �� sem' air: <br /> A:• ' • 'ermitee Signature Date • ssued By Signa re Date <br />