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y • CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 1 4 7 * <br /> DATE ISSUED: 02/28/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1065 FERNDALE RD W <br /> PIN : 02-117-23-43-0021 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1372 <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 : $ 200,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> INTERIOR LOWER LEVEL AND MAIN FLOOR REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 1,656.75 <br /> REVISION LLC STATE SURCHARGE(VALUATION) 100.00 <br /> 10985 OAK SHORE TRAIL TOTAL 1,756.75 <br /> DELANO,MN 55328- Payment(s) <br /> (952)540-7150 CHECK 9811 1,756.75 <br /> Minnesota State License#: BUIL-BC639027 <br /> OWNER <br /> DETOR, ELIZABETH & LUCAS <br /> 1065 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be perfortned 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 /> pertnits. 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 c nformance with the State Building Code.This permit may be <br /> revoked at time for due cause. <br /> � _ � i� R"i / S` <br /> Ap c,Qnt Permitee Signature Date Issu By Signature Date <br />