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. . . <br /> CITY OF ORONO PERMIT NO.: 2010-00391 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: OS/27/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1670 SHADYWOOD RD <br /> PIN : 17-117-23-21-0015 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FOUNDATION ONLY <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 1,450.00 <br /> NOTF,: <br /> REPAIR OF FOUNDATION -INSPECTION REQUIRED PRIOR"CO FILL <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 0.73 <br /> 5145 [NDUSTRIAL ST TOTAL 58.23 <br /> SUITE 103 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 20631574 <br /> OWNER <br /> KIELLEY, DONALD&ARLENE <br /> 1670 SHADYWOOD RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicabie 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 /> � �� �7� /U <br /> .�--i • � ���� �.:�c>� C� <br /> ���� Ap �� a t ermitee Signature Date ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />