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CITY OF ORONO * 2 0 1 6 - 0 0 5 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2016 <br /> � ORONO,MN 55356- <br /> � (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2264 SHADYWOOD RD <br /> PIN : 17-117-23-43-0124 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�1STRUCTION TYPE : GARAGE-DETACHED <br /> ACTIVITY : 438-ADDNS OF RES GARAGES&CARPORTS <br /> VALUATION : $ 75,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:MECHANICAL&ELECTRICAL(STATE) <br /> NEW DETACTED GARAGE <br /> NOTE:SEE BUILDERS ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 912.92 <br /> S J REUS CONSTRUCTION INC STATE SURCHARGE(VALUATION) 37.50 <br /> 3955 MERINO AVE TOTAL 950.42 <br /> WATERTOWN,MN 55388- Payment(s) <br /> (952)446-1572 CREDIT CARD 1670 950.42 <br /> Minnesota State License#:BUIL-1513 <br /> OWNER <br /> WIPSON,DAVID&LISA <br /> 4870 MINNESOTA LANE N <br /> PLYMOUTH,MN 55446- <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 dces <br /> not grant permission for additional or related work which requ'ves separate <br /> permiu. All provisions of laws and ordinances governing this rype 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 conformance with the State Building Code.This permit may be � <br /> revoked at y time for due cause. <br /> ;`_ — � <br /> � G � i� �o� f�����. � , �a, �� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />