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CITY OF ORONO ®111E1 <br /> ` 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 1 1 5 <br /> DATE ISSUED: 03/12/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 430 WAKEFIELD RD <br /> PIN 36-118-23-24-0003 <br /> LEGAL DESC WAKEFIELD FARMS <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION $ 35,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> REPLACE DECK,WINDOWS AND DOORS <br /> ADV PLAN REVIEW 2013-00114$338.33 PD <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> KUHL DESIGN&BUILD,LLC STATE SURCHARGE(VALUATION) 17.50 <br /> 1515 5TH STREET SOUTH <br /> HOPKINS,MN 55343- TOTAL 538.00 <br /> (952)935-9469 <br /> Minnesota State License#: BC390161 <br /> OWNER <br /> HENDERSON IV, WILLIAM <br /> 430 WAKEFIELD 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 /> 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 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 State Building Code.This permit may be <br /> rev ty Pe cause. <br /> 3 / rel 3 / l <br /> Ap li enni Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />