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CITY OF ORONO PERMIT NO.: 2011-00610 <br /> " 2750 KELLEY PARKWAY <br /> . ORONO,MN 55356- DATE ISSUEn: 07/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1720 SHADYWOOD RD <br /> PIN : 17-117-23-21-0019 <br /> LEGAL DESC : SHADY-WOOD <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 : $ 10,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBMG, ELECTRICAL(STATE) <br /> KITCHEN REMODEL <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> LAURENT BUILDERS PLAN REVIEW 124.64 <br /> 100 S.FULLER STREET <br /> SHAKOPEE,MN 55379 STATE SURCHARGE(VALUATION) 5.00 <br /> Minnesota State License#:20630887 TOTAL 321.39 <br /> OWNER <br /> MONSON,TOM&ANN <br /> 225 COUNTRY CLUB COURT <br /> LACROSSE,WI 54601- <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 Ciry 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 fo�e. <br /> ��l.��, 7 /�/ / �� <br /> Applicant Permitee Signature Date / / <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />