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liiiiiiiiiiiiiimiiiiiilillillillI <br /> CITY OF ORONO * 2016 - 00825 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)2494616 <br /> ADDRESS : 220 NORTHGATE RD <br /> PIN : 36-118-23-41-0051 <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 $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 278.77 <br /> STATE SURCHARGE(VALUATION) 7.50 <br /> CYCLONE CONSTRUCTION TOTAL 286.27 <br /> 2876 FAIRWAY DR Payment(s) <br /> CHASKA,MN 55318- CREDIT CARD 1603 286.27 <br /> (651)398-3622 <br /> Minnesota State License#:BUIL-429008 <br /> OWNER <br /> DAU,EDWARD&MICHELL <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 confo <br /> Cc <br /> with the State Building Code.This permit may be <br /> rey o7r a cause. <br /> vo <br /> t-- 9/ <br /> Applicant Permitee—Mpature Date Issued Signature Date <br />