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� CITY OF ORONO * 2 0 1 7 - 0 0 4 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2017 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2625 NORTH SHORE DR <br /> PIN : 09-117-23-42-0003 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 169,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 1,544.62 <br /> STATE SURCHARGE(VALUATION) 84.50 <br /> ANDERSON-REDA INC TOTAL 1,629.12 <br /> 4920 LINCOLN DRIVE <br /> EDINA,MN 55424 Payment(s) <br /> (612)308-2722 CREDIT CARD 3189 1,629.12 <br /> Minnesota State License#:BUIL-20229198 <br /> OWNER <br /> MEHBOD,AMIR&ASHLEY <br /> 2625 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this permit is issued shali be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. 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 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 after 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 tim for due cause. /�/'� <br /> /V' <br /> � � �--�.�' C� S i l9 i /`� <br /> Applicant Permit S ature Date Issued By Signatur Date <br />