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CITY OF ORONO * Z 0 1 4 - 0 0 0 5 3 * <br /> � . 2750 KELLEY PARKWAY DATE ISSUED: O1/23/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3090 NORTH SHORE DR <br /> PIN : 09-117-23-32-0006 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION ; $ 102,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 1,068.75 <br /> STATE SURCHARGE(VALUATION) 51.00 <br /> AMALIA G. CONSTRUCTION INC. TOTAL 1,119.75 <br /> 639 INTERLAKEN <br /> VICTORIA,MN 55386- Payment(s) <br /> Minnesota State License#: BUIL-BC396470 CREDIT CARD 0478 1,119.75 <br /> OWNER <br /> MCGLYNN,DAN <br /> 3090 NORTH SHORE DR <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 sepazate <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 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> IJ�. � Z �- � ������ / � 3 � / <br /> Applicant Permitee Signature Date IssueC-?�ature Date <br /> Y � <br />