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CITY OF ORONO * 2014 - 00530 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS 240 NORTHGATE RD <br /> PIN 36-118-23-41-0050 <br /> LEGAL DESC NORTHGATE TWO <br /> LOT 001 BLOCK 006 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 20,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> BRIAN STEPHENSON CONST.INC. <br /> STATE SURCHARGE(VALUATION) 10.00 <br /> TOTAL 349.25 <br /> 2025 PAWNEE RD Payment(s) <br /> MEDINA,MN CREDIT CARD 3122 349.25 <br /> (612)889-0477 <br /> Minnesota State License#:BUIL-20222459 <br /> OWNER <br /> CARISCH,STACY <br /> 240 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 an f d ca e. <br /> XppffMt Permitee SignaDate Issug By Signature Date <br />