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CITY OF ORONO PERMIT NO.: 2010-00419 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUEn: 06/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 SHADYWOOD RD <br /> PIN : 17-117-23-24-0016 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 025 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S[DING <br /> VALUATION : $ 3,300.00 <br /> l�5 �� <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> ERICKSON, SCOTT& INGRID STATE SURCHARGE(VALUATION) 1.65 <br /> 1840 SHADYWOOD RD TOTAL 104.90 <br /> WAYZATA,MN 55391 <br /> PAID WITH CC# 3205 <br /> OWNER <br /> ERICKSON, SCOTT& INGR[D <br /> 1840 SHADYWOOD 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 wi[h 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 re5ponsible for assuring all required inspections are <br /> requested in cqnformance with the State Building Code.This permit may be <br /> revoked at y time for due cause. <br /> __.��'__� � � � � ��% ��}� <br /> / / <br /> �Applicant Permitee Signature Date Issued By Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO <br />