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, CITY OF ORONO * Z 0 1 5 - 0 0 0 S 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3135 NORTH SHORE DR <br /> PIN : 09-117-23-32-0018 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1113 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-R�SIDENTIAL <br /> VALUATION : $ 340,076.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING, MECHANICAL,FIREPLACE,ELECTRICAL(STATE <br /> 2ND STORY ADDITION/REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 2,627.89 <br /> STATE SURCHARGE(VALUATION) 170.04 <br /> REVOLUTION DESIGN BUILD TOTAL 2,797.93 <br /> 18110 A�INNETONKA BLVD <br /> WAYZATA,MN 55391- Payment(s) <br /> (952)594-5037 CREDIT CARD 0858 2,797.93 <br /> Minnesota State License#:BUIL-BC631863 <br /> OWNER <br /> MARX,KELLY&MELODEE <br /> 3135 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 dces <br /> not grant permission for additional or rela[ed work which requires sepazate <br /> permiu. 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 � p� <br /> requested in conformance with the State Building Code.This permit may be ��`� <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />