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' ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 5 - 0 1 4 4 7 * <br /> DATE ISSUED: 12/04/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2730 PHEASANT RD <br /> PIN : 21-117-23-23-0057 <br /> LEGAL DESC : PHEASANT LAWN/2 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 300,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> ADDITION TO HOME <br /> APPLICANT PERMIT FEE SCHEDULE 2,369.92 <br /> XPAND,INC. STATE SURCHARGE(VALUATION) 150.00 <br /> 13727 JOHNSON MEMORIAL DR TOTAL 2,S19.92 <br /> SHAKOPEE,MN 55379- Payment(s) <br /> (952)292-6107 CREDIT CARD 0244 2,519.92 <br /> Minnesota State License#: BUIL-BC457158 <br /> OWNER <br /> COTTER,JEFF&PEGGY <br /> 2730 PHEASANT RD. <br /> EXCELSIOR,MN 55331- <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 sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> � �-�L � � � � tic-5 <br /> Applicant Permitee Signature Date Issued ignature Date <br />