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CITY OF ORONO PERM[T NO.: 2010-00511 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 5535G- DATE ISSUED: 07/08/2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1978 SHADYWOOD RD <br /> PIN : 17-117-23-24-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 6,200.00 <br /> NOTE: REPLACE EXISTING DECK <br /> ADVANCED PALN REVIEW OF$57.53 PAID W/CHECK#4070 <br /> VALUATION OF PROJECT WAS CHANGED PER LYLE WHICH CHANGED THE PLAN REVIEW FEE TO BE$95.88. THE ADDITIONAL <br /> $38.35 WILL BE COLLECTED WHEN THE PERMIT IT ISSUED. <br /> APPLICANT pERMIT FEE SCHEDULE 147.50 <br /> PETERS, BRIAN PLAN REVIEW 38.35 <br /> 1978 SHADYWOOD ROAD <br /> WAYZATA, MN 55391- STATE SURCHARGE(VALUATION) 5.00 <br /> TOTAL 190.85 <br /> OWNER <br /> PETERS, BRIAN <br /> 1978 SHADYWOOD ROAD <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. 7'his permit is for only the work described and does <br /> not gran[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 /> revoke fat any ti or due cause. <br /> .� l l /D '�l��� C�'Y�Ge�'1 �� ����OC� <br /> i i <br /> A / _� ' e ignature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />