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MUMMEMIMIMB <br /> CITY OF ORONO * 2 0 1 6 - 0 0 7 1 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2016 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADDRESS 220 NORTHGATE RD <br /> PIN 36-118-2341-0051 <br /> LEGAL DESC NORTHGATE TWO <br /> LOT 001 BLOCK 007 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 200,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> INERIOR REMODEL,KITCHEN,BATHROOM <br /> APPLICANT PERMIT FEE SCHEDULE 1,739.92 <br /> CYCLONE CONSTRUCTION STATE SURCHARGE(VALUATION) 100.00 <br /> 2876 FAIRWAY DR TOTAL 1,839.92 <br /> CHAAMSK ,MN 55318- Payment(s) <br /> CHH 39A, CREDIT CARD 1603 1,839.92 <br /> Minnesota State License#:BUIL-429008 <br /> OWNER <br /> SEE,HENRY&GAIL <br /> 220 NORTHGATE 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> J. <br /> Appl ermi ature Date Issued By Signature Date <br />