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r • " <br /> CITY OF ORONO * 2 0 1 2 - 0 0 7 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 2760 SHADYWOOD RD <br /> PIN : 21-117-23-24-0040 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1196 <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 : $ 400,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,AND ELECTRICAL(STATE) <br /> 2ND STORY ADDITION <br /> APPLICANT pERMIT FEE SCHEDULE 2,856.75 <br /> CREATIVE BUILDERS INC. PLAN REVIEW 1,856.89 <br /> 5958 FENNING AVE SE STATE SURCHARGE(VALUATION) 200.00 <br /> DELANO,MN 55328- <br /> (952)955-3062 TOTAL 4,913.64 <br /> Minnesota State License#:20037260 <br /> OWNER <br /> ENGLER,JEFF <br /> 3330 MARTHA LANE <br /> MINNETONKA,MN 55345- <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 gant 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 consVuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period 180 days at any time after work has commenced. <br /> 'I'he ' ant is res si le or assuring all required inspections aze <br /> requested in onfo an �th the State Building Code.This permit may be <br /> revoked at t' e fo e cause ' <br /> �" , 2c�, ��z �',a�,/a- <br /> Applicant Pe 'ee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />