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CITY OF ORONO * 2 0 1 5 - 0 0 2 9 4 * <br /> , . 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3120 NORTH SHORE DR <br /> PIN : 09-117-23-32-0007 <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 : $ 65,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, <br /> OTHER INSPECTION REQUIRED: FLOOR REINFORCEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 834.04 <br /> STATE SURCHARGE(VALUATION) 32.50 <br /> TONKA HOUSE TOTAL 866.54 <br /> 3210 SHORES BLVD Payment(s) <br /> MINNETONKA,MN 55391- CHECK 1230 866.54 <br /> (612)418-8953 <br /> Minnesota State License#: BUIL-668839 <br /> OWNER <br /> CREE,MARK&NANCY <br /> 3120 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shalf be performed according to <br /> the approved plans and specifications,app(icable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype 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 /> 1'he applicant is responsible for assuring all required inspections aze <br /> requested in conf ce with the State Building Code.This permit may be <br /> revoked at any me f r due cause. <br /> � : <br /> � � � , ��, �s <br /> Applicant rmite Signature Date Issued Signature Date <br />