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liiiiiiiiiiiiiiiiiiiiillillillillillillilliililliffm <br /> CITY OF ORONO * 2013 - 00910 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 2535 OLD BEACH RD <br /> PIN : 21-117-23-22-0019 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 24,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 165.22 <br /> SAWHORSE INC. STATE SURCHARGE(VALUATION) 12.00 <br /> 4740 42ND AVE N. TOTAL 177.22 <br /> ROBBINSDALE,MN 55422 <br /> (763)533-0352 <br /> Minnesota State License#:2382 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 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 Z;yt* <br /> / /3 / 2-o/3 <br /> AjjpY <br /> t Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHERTHAN DESCRIBED ABO <br />