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CITY OF ORONO PERMIT NO.: 2010-00192 <br /> - 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 04/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2200 SHADYWOOD RD <br /> PIN : 17-117-23-42-0006 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATF,) <br /> CONVERTING AN EXISTING PORCH IN"I'O A SCREEN PORCH <br /> ADVANCED PLAN REVIEW PAID ON PERMIT#2010-00193 WITH VISA <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> SHORELINE BUILDERS STATE SURCHARGE(VALUAT[ON) 7.50 <br /> 2184 SHADYWOOD RD TOTAL 273.00 <br /> WAYZATA,MN 55391- <br /> (763)506-0629 <br /> Minnesota State License#: 20630814 <br /> OWNER <br /> SWANSON, KARI &ZACK <br /> 2200 SHADYWOOD RD <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 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 /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if consUuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 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 /> revoke at any ti for due cause. <br /> � l� i l� ��� <br /> Applicant Per itee Signature Date / / <br /> Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED A O <br />