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CITY OF ORONO 1 1 1 II I II II I I I I I III I I I I II I III IIII <br /> * 2015 - 01398 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/1112015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 190 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0009 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 048 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : JO! 5 Inge Fv, I Ll <br /> VALUATION : $ 547,039.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,SEWER CONNECTION,WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 3,881.92 <br /> PLAN REVIEW 27.52 <br /> KRJ HOMES STATE SURCHARGE(VALUATION) 273.52 <br /> 16890 80TH PL N S.A.C. 0.00 <br /> MAPLE GROVE,MN 55311- <br /> (612)850-5260 TOTAL 4,182.96 <br /> Payment(s) <br /> CHECK 10793 4,182.96 <br /> OWNER <br /> BRUNELLO,JOHN <br /> 7513 MAPLEWOOD DRIVE <br /> MAPLE GROVE,MN 55311- <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 /> 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 /> ,/� l SD / /l 1 lS <br /> A gt Petmitee Signatu Date Issue Signature Date <br />