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CITY OF ORONO * 2 0 1 5 - 0 0 6 6 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4695 NORTH SHORE DR <br /> PIN 07-117-23-32-0059 <br /> LEGAL DESC TRISTANA COVE <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 49,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 704.61 <br /> STATE SURCHARGE(VALUATION) 24.50 <br /> DUGGAN CONSTRUCTION TOTAL 729.11 <br /> 1520 PENNSYLVANIA AVE Payment(s) <br /> GOLDEN VALLEY,MN 55427- CHECK 4312 729.11 <br /> (763)245-4740 <br /> Minnesota State License#:BUIL-BC316739 <br /> OWNER <br /> PORTER,CAMERON&MOLLY <br /> 4695 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 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 <br /> requested in c, ance with the State Building Code.This permit may be <br /> revoked t y t' a user, <br /> Applic ipr <br /> it nature a Issued V Signature Date <br />