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CITY OF ORONO * 2 0 1 2 — 0 1 2 5 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 4725 NORTH SHORE DR <br /> PIN 07-117-23-32-0066 <br /> LEGAL DESC BERGQUIST&WICKLUNDS PARK <br /> LOT MB BLOCK 5 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 6,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> DECK AND PATIO PERMIT COMBINED. <br /> AS BUILT SURVEY REQUIRED TO VERIFY HARDCOVER PRIOR TO RELEASE OF ESCROW. INITIAL) <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> KATHERINE TAYLOR HOMES,INC. STATE SURCHARGE(VALUATION) 3.00 <br /> 120 RAILWAY STREET W <br /> PO BOX 35 TOTAL 135.75 <br /> LORETTO,MN 55357 <br /> (763)479-0301 <br /> Minnesota State License#:4738 <br /> OWNER <br /> ROEDEL,JOHN <br /> 4725 NORTH SHORE DRIVE <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 conformance with the State Building Code.This permit may be <br /> revoke_d at any time for due cause. <br /> 44rplicant Permi ee Mgnature Date Iss6egBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />