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, CITY OF ORONO * 2 0 1 6 - PJ 1 0 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3145 NORTH SHORE DR <br /> PIN : 09-117-23-33-0013 <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-RESIDENTIAL <br /> VALUATION : $ 350,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> ADDITION TO HOME <br /> APPLICANT PERMIT FEE SCHEDULE 2,684.92 <br /> STATE SURCHARGE(VALUATION) 175.00 <br /> BOYER BUILDING CORPORATION <br /> 3435 COUNTY ROAD 101 TOTAL 2,859.92 <br /> MINNETONKA,MN 55345- Payment(s) <br /> (612)475-2097 CHECK 051159 2,85992 <br /> Minnesota State License#:BUIL-2988 <br /> OWNER <br /> PETERSON, SVERON <br /> 3145 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 separate <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 180 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 /> ,— /?D�1 <br /> /i�/ <br /> o /o �� -b �e--e� ��-�--t� L / lJi l�i �'�o <br /> Applicant P i ee Signature Da e Issued By Signature Date <br />