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• I <br /> VP <br /> CITY OF ORONO PERMIT NO.: 2010-00512 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4725 NORTH SHORE DR <br /> PIN : 07-117-23-32-0017 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> : LOT 005 BLOCK 005 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,225.00 <br /> NOTE: <br /> FORECLOSURE FINISH <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> KATHERINE TAYLOR HOMES,INC. STATE SURCHARGE(VALUATION) 1.11 <br /> 120 RAILWAY STREET W <br /> PO BOX 35 TOTAL 89.61 <br /> LORETTO,MN 55357 <br /> (763)479-0301 <br /> Minnesota State License#:4738 <br /> OWNER <br /> Hessht t;-fie ede} ent �� 5EC-0 I <br /> 466 SRQRrA1"IFA DR VE PAGE Fa2 <br /> 4- M&Vj OvV�E� <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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Per►nitee Signature Date I By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />