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CITY OF ORONO * 2 0 1 4 - 0 1 0 z 2� <br /> 2 7 5 0 K E L L E Y P A R K W A Y DATE ISSUED: 09/12/2014 <br /> � . ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1966 SHADYWOOD RD <br /> PIN : 17-117-23-24-0024 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 036 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 25,000.00 <br /> NOTE: THIS PERMIT INCLUDES SIDING AND WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> THE ONE TREE GROUP TOTAL 425.50 <br /> 3540 MONTGOMERIE AVE Payment(s) <br /> DEEPHAVEN,MN 55331- CHECK 8287 425.50 <br /> (612)812-3324 <br /> OWNER <br /> OLSON,JACK&KARI <br /> 1966 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 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' uance,or if construction is <br /> suspended for a period of 1 da f e after work has commenced. <br /> The applicant is responsi e ass 1 required inspections aze <br /> requested in conform e ith th Building Code.This permit may be <br /> revoked at any time r e cau . <br /> � <br /> �. I Z'�I i -�� - <br /> Applicant Permi ' ature Date Issued By Signature Date <br />