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` . CITY OF ORONO PERMIT NO.: 2009-00668 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/05/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 790 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 026 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,SEPTIC,ELECTRICAL(STATE) <br /> REMOVING AND REPLACING BASEMENT WALLS DUE TO WATER DAMAGE. <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> BAKER,KAREN STATE SURCHARGE(VALUATION) 12.50 <br /> 790 OLD CRYSTAL BAY RD S <br /> WAYZATA,MN 55391- MISC FEE 0.00 <br /> (612)247-1560 TOTAL 425.50 <br /> OWNER <br /> BAKER,KAREN <br /> 790 OLD CRYSTAL BAY RD S <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 nformance w' the %te Building Code.This permit may be <br /> revok y time for),..�aus / <br /> /1/ --1 / e57 6 7 lin .!A._ /Oi 45-, O 5 <br /> Applicant Permitee Signature Date A <br /> Issu.L :y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />