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CITY OF ORONO I I Ii I I I II I II I� INT I I I 2 I 0 I I S 11 <br /> I� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4009 NORTH SHORE DR <br /> PIN : 07-117-23-44-0004 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 7,000.00 <br /> NOTE: INSTALL(1)SERVICE DOOR IN GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> PLAN REVIEW 100.65 <br /> LBC CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50 <br /> 8830 GREENFIELD RPAD <br /> GREENFIELD,MN 55357- TOTAL 259.00 <br /> Minnesota State License#: BUIL-BC570568 Payment(s) <br /> CHECK 5408 259.00 <br /> OWNER <br /> SPLINTER,JAMES&VICKI <br /> 4009 NORTH SHORE DR <br /> MOUND,MN 55364- <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 /> 642.a-( ) io 4-41S-6) 3 /7S <br /> Applicant Permitee Signature Date Issued By&gnature Date <br />