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f � <br /> CITYOFORONO * Zp� 15 - 00253 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/05/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRE�SS : 290 HOLLANDER RD <br /> PIN : 25-118-23-43-0011 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> (INSTALL STEEL BEAM TO OPEN UP KITCHEN) <br /> APPLICANT PERMIT FEE SCHEDULE 77.44 <br /> STATE SURCHARGE(VALUATION) 1.00 <br /> KNIGHT CONST.DESIGN TOTAL 78.44 <br /> 2989 WATERTOWER P. Payment(s) <br /> CHANHASSEN,MN 55317 CHECK 5135 78.44 <br /> (952)361-4949 <br /> Minnesota State License#: BUIL-BCO22883 <br /> OWNER <br /> MAHAFFY,DALE&SUSAN <br /> 290 HOLLANDER RD <br /> WAYZATA,MN 55391 <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 aze <br /> requested in conformance with the State Building Code.This permit may be ------ - <br /> revoked at any time for due cause. <br /> s <br /> � /v� � <br /> App ' ant itee Signature Date ssued y Signature Date <br />