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CITY OF ORONO PERMIT NO.: 2011-00176 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 3/29/2011 <br /> ADDRESS 2585 OLD BEACH RD <br /> PIN 21-117-23-22-0020 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 14,200.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> PROVIDE C.O.AND SMOKE DETECTORS TO CODE w t, J <br /> i <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> BILL WEIRICK CONSTRUCTION PLAN REVIEW 172.58 <br /> 11343 STRATTON AVE#200 <br /> EDEN PRAIRIE,MN 55346- STATE SURCHARGE(VALUATION) 7.10 <br /> (269)861-4834 MISC FEE 0.00 <br /> Minnesota State License#:20638692 TOTAL 445.18 <br /> PAID WITH CASH 445.18 <br /> OWNER <br /> BISHOP,LUZ <br /> 2585 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 /> requ sted in conformance with the State Building Code.This permit may be <br /> revo ed a any time for due ca e. <br /> 1._Applic etmitee S nature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />