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� < < CITY OF ORONO * 2 0 1 4 — 0 0 6 3 5 * <br /> 2750 KELLEY NARKWAY DATE ISSUED: 07/3U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 805 FOREST ARMS LA <br /> PIN : 07-117-23-12-0009 <br /> LEGAL DESC : FOREST ARMS <br /> : I,OT 001 BLOCK 002 <br /> PERMIT TYPE : ADDITION / REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN / REMODEI.,/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : � 45,000.00 <br /> NO"I'E: SEPARA�CE PERMI"I'S REQUIRGD: EI,I',CTRICAL(S�I�n�I�E) <br /> SCRGENED PORCH&DECK <br /> NO"1'E: PRIOR'f0 RELrASE OF ESCROW AN AS-RUII.T SURVEY MUST BF,SUBMITTED AND nPPROVED. INITIAL:�/'/�� <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> STATE SURCHARGE(VALUATION) 22.50 <br /> BETZ BUILDERS 1NC. TOTAL 650.50 <br /> 300 CRESTVIEW AVE. Payment(s) <br /> LONG LAKE, MN 55356 C�HECK 19295 650.50 <br /> (612)221-2963 <br /> Minnesota State License#: BUIL-BC3515 <br /> OWNER <br /> FELDMANN,JOSEPH &DONELLE <br /> 805 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for which thi�permit is issued shall bc performcd according to <br /> the approved plans and specitications,applicablc City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and docs <br /> not grant perniission for additional or rclated work which requires separatc <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 /> conunenced 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 /> "I�he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permit may be <br /> revoked,at a �timc for due cause. <br /> i� � <br /> � � -�/�-� � � / � / <br /> Applicant Permitee Signature ��� Date Issued y Signalure Datc <br />