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_ CITY OF ORONO * z 0 1 7 - 0 0 1 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3414 LIV[NGSTON AVE <br /> PIN : 17-117-23-43-0023 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 170.34 <br /> BORG,CARL&CAREN PLAN REVIEW 110.72 <br /> 3414 LIVINGSTON AVE STATE SURCHARGE(VALUATION) 4.00 <br /> WAYZATA, MN 55391- TOTAL 285.06 <br /> Payment(s) <br /> CEIECK 13148 285.06 <br /> OWNER <br /> BORG,CARL&CAREN <br /> 3414 LIVINGSTON AVE <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 rype 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 l80 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 I � � ,- <br /> revoked at any time for due cause. 1 � �� ) <br /> / � `j'�� � J� � <br /> rk ' �C�t/ � i\ C:(,(�,L � � �-�C �-���� � � � %/ j-� <br /> 1�-�-' <br /> Applicant Permitee Signature Date Issued By 5ignature Date <br />