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CITY OF ORONO * 2 0 1 6 - 0 0 3 6 8 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2615 SHADYWOOD RD <br /> PIN : 21-117-23-23-0054 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 9,800.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> REMODEL KITCHEN,REPLACE 8 WINDOWS IN EXISTING OPENINGS,SIDING&GARAGE DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 201.32 <br /> PLAN REVIEW 130.86 <br /> TODD REALTY,LLC STATE SURCHARGE(VALUATION) 4.90 <br /> 206 N.CHESTNUT <br /> CHASKA,MN 55318- TOTAL 337.08 <br /> (952)345-3450 Payment(s) <br /> CHECK 12203 337.08 <br /> OWNER <br /> HUBER,THOMAS&NANCY <br /> 2615 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 dces <br /> not grant permission for additional or related work which requires separate <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 riod of 180 days at any time after work has commenced. <br /> The applicant is sponsible for assuring all required inspections are <br /> requested in c rmance with the State Building Code.This permit may be <br /> revoked at an i e for due cause. � <br /> I � � � <br /> ��- � U �/ a-c� � <br /> A ic Pe 'e / a Issued By Signature Date <br />