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, CITY OF ORONO * 2 0 1 5 - 0 1 0 7 2 * <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: 08/2U2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4645 BAYSIDE RD <br /> PIN : 06-117-23-22-0009 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONS'I'RUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 15,000.00 <br /> NOTG: WATER REPAIR TO STUCCO <br /> APPLICANT PERMIT FEE SCHEDULE 278.81 <br /> BARRIER EXTERIORS STATE SURCHARGE(VALUATION) 7.50 <br /> 510] HWY 55 STE 5000 TOTAL 286.31 <br /> ROBBINSDALE, MN 55422- Payment(s) <br /> Minnesota State License#: BUIL-BC638205 CHECK 3373 286.31 <br /> OWNER <br /> SIMS, ERIC& EL[ZABETH <br /> 4645 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <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 perniission for additional or related work which requires separate <br /> perrnits. 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 cons[ruction 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[ime afrer 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 ti or due cause. <br /> 8r21 �< <� , , <br /> Appl ant Permitee Signatu Date Issued By Signature Date <br />