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� � <br /> CITY OF ORONO PERMIT NO.: 2009-00109 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuEn: 03/23/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2240 BAYVIEW PL <br /> PIN : 17-117-23-44-0042 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 039 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTG: SF,PERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> DESIGN MATTERS PLAN REVIEW 124.64 <br /> 945 FOREST ARMS LANE <br /> MOUND, MN 55364 STATE SURCHARGE(VALUATION) 5.00 <br /> (952)270-6434 MISC FEE 0.�0 <br /> Minnesota State License#:20484102 TOTAL 321.39 <br /> OWNER <br /> ROBERTS, MICHELLE <br /> 2240 BAYVIEW PL <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 govcrning 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 con uction authorized is not <br /> commenced within 180 days of the d of issuance,or if construction is <br /> suspended for a period o1�180 days Yany time after work has commenced. <br /> The applicant is responsible for �uring all required inspections are <br /> requested in conformance with ' State Building Code.This pennit may be <br /> revoked at any t r c <br /> .` .�� � ,2-3, �%�I <br /> � i �i D <br /> Applicant Permite i ature Date Is d y Signature Date <br /> V SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />