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� CITY OF ORONO * z 0 1 3 - 0 0 7 z 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3645 NORTH SHORE DR <br /> PIN : 08-117-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 273 <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 79,000.00 <br /> NO�fE: SF.PARA"I'E PERMI"1'S R1;QUIRED: PLUM[3ING, MGCHANICAL,GLEC"CR[CAL(STA"I'E) <br /> REMODEI, <br /> APPLICANT PERM[T FEE SCHEDULE 899.25 <br /> BERTRAM BUILDING& REMODELING PLAN REVIEW 584.51 <br /> 7002 FERNBROOK LANE N <br /> MAPLE GROVE, MN 5531 1- STATE SURCHARGE(VALUATION) 39.50 <br /> (612)750-5016 TOTAL 1,523.26 <br /> Minnesota State License#: BC126599 <br /> OWNER <br /> OLSON, BRAD <br /> 3645 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 /> no[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 authorized is not <br /> commenced within 180 days of the date oY issuance,or if construction is <br /> suspended for a period of 1 SO days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> req ested in conf mance with the State Building Code.This permit may be <br /> rev e at a t e for due cause. <br /> . / <br /> ,� _ � / SCJ /Z��t� ����/ C r� > l'Z�� <`( l /�'��'� / �' '> <br /> pp 'c Permitee Signature Date Iss�y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />