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' • J CITY OF ORONO <br /> * Z 0 1 6 - 0 1 0 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 565 FERNDALE RD N <br /> p IN : 36-118-23-14-0004 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 345,000.00 <br /> NOTE: SEPARA7�E PERMITS REQUIRED: PLUMBING,MECHANICAL,FIRBPLACE,ELEC"fR[CAL(STATE) <br /> REMODEL OF HOME&ADDIT[ON <br /> APPLICANT PERMIT FEE SCHEDULE 2,653.42 <br /> STATE SURCHARGE(VALUATION) 172.50 <br /> SHEP'S CONSTRUCTION TOTAL 2,825.92 <br /> 1620 MARSH AVE Payment(s) <br /> MAPLE PLAIN, MN 55359- CHECK 1406 2,825.92 <br /> (763)479-4465 <br /> Minnesota State License#: BUIL-BC626612 <br /> OWNER <br /> VEIT,TRAVIS <br /> 565 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT AND SWORIV STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,an� thc <br /> State Quilding Code. This pennit is for only the work described and docs <br /> not grant pennission for additional or related w�ork whicl�requires separate <br /> permits. 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 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer 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 time for due cause. _ <br /> / �, <br /> �� -� <br /> Co • zt - [ ", �C/j �./� ��o <br /> Applicant Permit ignature Date �lssued By ignature Date <br />