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CITY OF ORONO � 1 5 - 0 1 4� <br /> � '' 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2117 SHADYWOOD RD <br /> PIN : 17-117-23-31-0044 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 011 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : S[DING <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: RESIDING AND GU"I'TERS <br /> APPLICANT PERMIT FEE SCHEDULE 170.38 <br /> STATE SURCHARGE(VALUATION) 4.00 <br /> PRO TECH EXTERIORS TOTAL 174.38 <br /> 5840 W BROADWAY Payment(s) <br /> MINNEAPOLIS, MN 55428- CHECK 2612 174.38 <br /> (763)439-8313 <br /> Minnesota State License#: BUIL-BC635887 <br /> OWNER <br /> DODSON, RALPH&REBECCA <br /> 2117 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 Buiiding Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming[his 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 da[e 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 wi[h the State Building Code.This permit may be <br /> revoked at any time due ca <br /> L/V ` <br /> -�G�� D l-�l �� l C� l�S <br /> Applicant rmitee Signature Date Issued By ignature Date <br />