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CITY OF ORONO * 2 0 1 4 - 0 1 2 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2014 <br /> r ORONO, MN 55356- <br /> 952 249-4600 FAX: (952)249-4616 <br /> ADD ESS : 1325 SHORELINE DR <br /> PIN : 02-117-23-34-0011 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1350 <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 : $ 8,000.00 <br /> NOTE: FOAM INSULATION FOUNDATIN WALL-SHEET ROCK-TAPE AND PAINT <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> STATE SURCHARGE(VALUATION) 4.00 <br /> MICHAEL HOMES INC. TOTAL 166.25 <br /> 4265 CTY RD 123 Payment(s) <br /> MAYER,MN 55360- <br /> (612)670-5879 CHECK 33498 166.25 <br /> OWNER <br /> MILLER,CRAIG&BEVERLEY <br /> 1325 SHORELINE DR. <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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � �_ ��� � i �i 1 <br /> Applicant Permitee Signature Date Issue y Signature Date <br />