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� ' CITYOFORONO * 20 15 - 00530 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO.0269 <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 : $ 70,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 873.44 <br /> STATE SURCHARGE(VALUATION) 35.00 <br /> SCHRADER&COMPANIES TOTAL 908.44 <br /> 9723 VALLOM VIEW DR <br /> EDEN PRAIRIE,MN 55344- Payment(s) <br /> CHECK 8860 908.44 <br /> (952)465-3582 <br /> Minnesota State License#: BUIL-BC592473 <br /> OWNER <br /> CONNELLY,THOMAS <br /> 3115 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 Ciry 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 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 au[horized is no[ <br /> commenced within l80 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 requir nspections are <br /> requested in conformance with the St uild�de.This permit may be <br /> revoked at any time for d�ause. <br /> ,�/ ��,'.J`�t ���;� �f/ / � � � ' 1� `� l�. <br /> � ' _�_ ��..�y'V� �1 / � � l <br /> Applicant Permitee Signature Date Issued By Signature Date <br />