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CITY OF ORONO * z 0 1 4 - 0 1 1 7 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2014 <br /> r � ORONO, MN 55356- <br /> (952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2032 SHADYWOOD RD <br /> PIN : 17-117-23-31-0012 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 72,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL AND NEW WINDOWS AND DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 846.75 <br /> STATE SURCHARGE(VALUATION) 36.00 <br /> GEROLD BROTHERS CONSTRUCTION INC. <br /> PO BOX 128 TOTAL 882.75 <br /> NEW PRAGUE,MN 56071- Payment(s) <br /> (952)758-2842 CHECK 32845 882.75 <br /> Minnesota State License#: BUIL-BC001 ll 5 <br /> OWNER <br /> STRONG, STEVE <br /> 2032 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � ����1�J2��/� o � a �/ <br /> Applicant Permitee Signature Date Issued y Signature Date <br />