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• � CITY OF ORONO PERMIT NO.: 2010-00056 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/OS/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1910 SHADYWOOD RD <br /> PIN : 17-117-23-24-0020 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 031 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RES[DENT[AL <br /> VALUATION : $ 50,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMB[NG, MECI�ANICAL, ELECTRICAL(STATE) <br /> BASEMENT REMODEL <br /> ADVANCE PLAN REVIEW PAID 2/3/10 2010-00055 $443.14 <br /> OWNER MUST SIGN CONTRACTOR LICENCING ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 681.75 <br /> MCMANUS, JAMES& MEGAN STATE SURCHARGE(VALUAT[ON) 25.00 <br /> 1910 SHADYWOOD RD TOTAL 706.75 <br /> WAYZATA, MN 55391- <br /> PA[D WITH CC# 1501 <br /> OWNER <br /> MCMANUS,JAMES& MEGAN <br /> 1910 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall be performed according to <br /> the approved plans and specitications,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 /> shail be compied with whether or not specified herein.This permit will <br /> expire and become null and void iY 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 ti for due cause. - �� ;? --� �� _ <br /> , - <br /> � ��/ �'- ,� � �/� <br /> Z ` �i i /� ����, �,_� ��'�'�r'c �" i i <br /> Applica ermitee Signature Date [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />