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CITY OF ORONO * 201S - 00701 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2015 <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 $ 42,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 636.87 <br /> STATE SURCHARGE(VALUATION) 21.25 <br /> SAWHORSE INC. TOTAL 658.12 <br /> 4740 42ND AVE N. Payment(s) <br /> ROBBINSDALE,MN 55422 CHECK 111016 658.12 <br /> (763)533-0352 <br /> Minnesota State License#: BUIL-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 at any time for due cause. <br /> pplicant Perrni Signature Date Issued By ignature Date <br />