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'� , CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 7 - PJ 1 0 8 1 * <br /> DATE ISSUED: 10/1U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1760 SHORELINE DR <br /> PIN : 10-117-23-14-0017 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 1,020,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,SEPTIC,FIREPLACE,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 6,338.92 <br /> NOR-SON INC STATE SURCHARGE(VALUATION) 508.00 <br /> 700 LAKE STREET E TOTAL 6,846.92 <br /> WAYZATA, MN 55391- Payment(s) <br /> (952)767-7949 CHECK 6846.42 6,846.92 <br /> Minnesota State License#: BUIL-BC001969 <br /> OWNER <br /> Woodhouse Shoreline LLC <br /> 600 HIGHWAY 169 S#701 <br /> MINNEAPOLIS,MN 55426- <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 separate <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 l80 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. i <br /> �0 -//-/ .7 >"'-�l � O l // l �� <br /> G%�z�� / <br /> Applicant Permitee Signature Date Issued By nature ' Date <br />