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CITY OF ORONO * 2 0 1 5 - PJ 1 4 1 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1 U04/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4345 NORTH SHORE DR <br /> PIN : 07-117-23-43-0032 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 008 BLOCK 018 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL, ELECTRICAL(STATE) <br /> ADDING BATHROOM&CLOSET IN BASEMENT <br /> APPLICANT PERMiT FEE SCHEDULE 278.81 <br /> PLAN REVIEW 181.23 <br /> TERRY ELFER[NG CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 7.50 <br /> 15489 CANYON R[DGE <br /> EDEN PRAIRIE, MN 55347- TOTAL 467.54 <br /> (952)934-9010 Payment(s) <br /> Minnesota State License#: BUiL-BC006167 CREDIT CARD 9775 467.54 <br /> OWNER <br /> DUNN, USA&CHARLES <br /> 4345 NORTH SHORE DR <br /> MOUND, MN 55364- <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 cons[ruction 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 ) <br /> requested in conformance with the State Building Code.This permit may be `L/T� <br /> revoked at any time for due cause. � � <br /> ,/�✓�-�-� � /��_ C�C�v ` � �`-�_ ��� ��� � �-- <br /> Applicant Per itee Signature Date Issued By Signature Date <br />