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. . CITY OF ORONO * Z 0 1 5 - 0 0 0 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU06/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3895 SHORELINE DR <br /> PIN : 20-117-23-22-0004 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> BATH REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 228.65 <br /> INTEGRITY HOME SOLUTIONS PLAN REVIEW 148.62 <br /> 18605 PROVIDENCE DR. STATE SURCHARGE(VALUATION) 6.00 <br /> BIG LAKE, MN 55309 TOTAL 383.27 <br /> (763)744-6221 Payment(s) <br /> CREDIT CARD 4534 383.27 <br /> OWNER <br /> RAUSCHENDORFER,JOE& SANDY <br /> 3895 SHORELINE DR <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 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 permi[will <br /> expice 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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> V� ( / � �� <br /> A cant Permitee Signa re Date Issu By Signature Date <br />