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,� CITY OF ORONO * z 0 1 z - 0 0 9 7 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2829 CASCO POINT RD <br /> PIN : 20-117-23-32-0007 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 116 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI VITY : 434-RES[DENTIAL <br /> VALUATIOI� : $ 23,000.00 <br /> NOTE: SEPERATE PERMITS RH'QUIRED: PLUMBING, GLECTRICAL(STATE) <br /> BA I�HROOM REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 383.50 <br /> K-D REMODELERS PLAN REVIEW 249.28 <br /> 9272 YUCCA LANE <br /> MAPLE GROVE, MN 5531 1- STATE SURCHARGE(VALUATION) 11.50 <br /> (612)719-1843 TOTAL 644.28 <br /> Minnesota State License#: 1657 PAID WITH CC# 2410 <br /> OWNER <br /> PETERSON, BRUCE& MARY <br /> 2829 CASCO PT 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 E3uilding 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 construc[ion 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 conforma ce ith the State Building Code.This pennit may bc <br /> revoked t a y ti� fo u cause. <br /> � � ��l/�. �l� 2- �l 1 Z <br /> Applicant e itee Signature Date Issu� 13y Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />