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w <br /> CITY OF ORONO * 2 0 1 7 - 0 1 8 8 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2505 OLD BEACH RD <br /> PIN 21-117-23-22-0018 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 8,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> MASTER BATH REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 170.34 <br /> PLAN REVIEW 110.72 <br /> COLSON CUSTOM HOMES <br /> STATE SURCHARGE(VALUATION) 4.00 <br /> 216 WATER STREET <br /> TOTAL 285.06 <br /> EXCELSIOR,MN 55331- Payment(s) <br /> 0 <br /> Minnesota State License#:BUIL-20276966 CREDIT CARD 1440 285.06 <br /> OWNER <br /> SHERMAN,MR.&MRS. <br /> 2505 OLD BEACH RD <br /> WAYZATA,MN 55391- <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 /> 9 <br /> Applicant Perrnitee Signature Date Issued VSignature Date <br />