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, + CITY OF ORONO * 2 0 1 5 - 0 0 7 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/OU2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2660 PHEASANT RD <br /> PIN : 21-117-23-23-0022 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 75,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> NOTE: PRIOR TO RE E F ESCROW ON AS-BUILT SURVEY AND HARDCOVER CALCULATIONS MUST BE SUBMITTED AND <br /> APPROVED. INITIAL: � <br /> APPLICANT PERMIT FEE SCHEDULE 912.84 <br /> STATE SURCHARGE(VALUATION) 37.50 <br /> MCNULTY CONSTRUCTION CO. TOTAL 950.34 <br /> 400 2ND AVE. S. Payment(s) <br /> SUITE 650 CHECK ��� 950.34 > <br /> MINNEAPOLIS, MN 55402 __ - <br /> �) <br /> Minnesota State License#: BUIL-BC1560 <br /> OWNER <br /> HAYHURST,GREGORY&GAYLE <br /> 2660 PHESANT RD <br /> EXCELSIOR, MN 55331- <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 /> revo at any time for due cause. <br /> ,_, <br /> 1��',�.� � -e� S-z �- , ( i -- <br /> pl cant Permitee Signature bate Issued ignature Date <br />