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CITY OF ORONO * a 1 3 -HM <br /> 5 0 2 <br /> 2750 KELLEY PARKWAY 1) STI ISSUED: 08/07/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 4731 NORTH SHORE DR <br /> PIN : 07-117-23-32-0067 <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 $ 5,000.00 <br /> NOTE: REPLACEMENT OF WALLS-IN-KIND <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> Colson Custom Homes STATE SURCHARGE(VALUATION) 2.50 <br /> 216 WATER STREET TOTAL 120.50 <br /> EXCELSIOR,MN 55331- <br /> PAID WITH CC# 7934 <br /> OWNER <br /> Colson Custom Homes <br /> 216 WATER STREET <br /> EXCELSIOR,MN 55331- <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 law d ordinances governing this type of work <br /> shall be compied with whet r r not specified herein.This permit will <br /> expire and beco ull vo if construction authorized is not <br /> commence 18 ays the date of issuan or if construction is <br /> suspen f pe of 1 days at a after work has commenced. <br /> Th ppl', nt is nsib f uring all required inspections are <br /> requ in cith the State Building Code.This permit may be <br /> r ed at y.t' <br /> L <br /> Ap.Want PVFrnitee Signature Date Issue YS ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />