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c • <br /> CITY OF ORONO * 2 0 1 4 - 0 0 0 0 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 133 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0022 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 017 BLOCK 001 <br /> PERMIT TYPE : ADDIT[ON /REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/ REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 12,000.00 <br /> NOTE: SFPARATE PERMITS REQUIRED: PI.UMI3ING, MECHAN[CAL, GLECTRICAI,(S"I�A'I�G) <br /> KITCHEN AND POWDF,R ROOM RFMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> STATE SURCHARGE(VALUATION) 6.00 <br /> OLSON, MR. & MRS. ROBERT <br /> TO'TAL 227.25 <br /> 133 CHEVY CHASE DR <br /> WAYZATA, MN 55391 Payment(s) <br /> CHECK 227•25 <br /> OWNER <br /> OLSON, MR. & MRS. ROBER"[' <br /> l33 CHEVY CHASE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> fhc work for which this permit is issued shall be performed according to <br /> thc approved plans and spccitications,applicable Ciry approvals,and thc <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 /> permi[s. 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 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 al�ter work has commenced. <br /> The applicant is responsi�ble.for assuring all rcquired inspections are <br /> requested in contorman�e with the State Building Code.This permit may be <br /> revoked at any tiine"for� e cause. <br /> i, <br /> '�� / ��j''""� �. ���-/ / l �' i <br /> App icant Permi ee Si�nature Date � Issu d y Signaturc Date <br />