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CITY OF ORONO <br /> � * 2 0 1 3 - 0 1 0 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 � <br /> ' ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2248 SHADYWOOD RD <br /> PIN : 17-117-23-43-0126 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 75,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> GARAGE ADDITION <br /> ***AS-BUILT SURVEY AND HARDCOVER CALCULATIONS REQUIRED FOR ESCROW RE . INITIAL: � <br /> ***PLANTING PLAN MUST BE ESTABLISHED PRIOR TO ESCROW RELEASE. INITIAL:,�1� <br /> APPLICANT pERMIT FEE SCHEDULE 869.25 <br /> PAUL SORENSON CONSTRUCTION STATE SURCHARGE(VALUATION) 37.50 <br /> 525 COUNTY ROAD 92 <br /> MAPLE PLAIN,MN 55359- TOTAL 906.75 <br /> (612)868-5138 <br /> OWNER <br /> LAGERSTROM,ED <br /> 2248 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 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 sepazate <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 aze <br /> requested in conf rmanc ith the State Building Code.This permit may be <br /> revok any e for e cause. <br /> ,�- ra �a3 � ��3 � � <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />