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� <br /> CITY O�' O�ONO *� _ 0 1 3 1 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 F�X: 952 249-4616 <br /> ADDRESS : 2178 SHADYWOOD RD <br /> PIN : 17-117-23-42-0009 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 017 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 9,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> CHANGE OUT 3 SKYLIGHTS IN SAME LOCATION <br /> REMOVE PATIO DOORS AND INSTALL 3 WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 185.83 <br /> PLAN REVIEW 120.79 <br /> EDGEWORK DESIGN BUILD STATE SURCHARGE(VALUATION) 4.50 <br /> 7210 GALPIN BLVD <br /> EXCELSIOR,MN 55331- TOTAL 311.12 <br /> (612)328-0944 Payment(s) <br /> Minnesota State License#: BUIL-3681 CREDIT CARD 3099 311.12 <br /> OWNER <br /> ANDERSON,MR.&MRS.CURTIS <br /> 2178 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 /> no[grant permission for additional or related work which requices 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 S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � � <br /> / / <br /> Appl ant Permit e Signa Date Issued By Signature Date <br />