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" CITY OF ORONO <br /> � ` * 2 0 1 3 - 0 1 2 9 9 * <br /> ! 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2013 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2760 SHADYWOOD RD <br /> PIN : 21-117-23-24-0040 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> ENCLOSED PORCH <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> CREATIVE BUILDERS INC. PLAN REVIEW 172.58 <br /> 5958 FENNING AVE SE STATE SURCHARGE(VALUATION) 7.50 <br /> DELANO,MN 55328- TOTAL 445.58 <br /> (952)955-3062 Payment(s) <br /> Minnesota State License#: BUIL-BC037260 CHECK 6573 445.58 <br /> OWNER <br /> ENGLER,JEFF <br /> 3330 MARTHA LANE <br /> MINNETONKA,MN 55345- <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 goveming 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due <br /> ,.i� Z-l��3 / l <br /> Appf •ermite/ gnature Date Issued By gnature Date <br /> v <br />