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., . .. CITY OF ORONO PERMIT NO.: 2oiaoioas <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 1 U15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2058 SHORELINE DR <br /> PIN : 15-117-23-21-0003 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 55,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> SUNROOM REMODEL <br /> APPLICANT pERMIT FEE SCHEDULE 719.25 <br /> KEITH WATERS&ASSOCIATES STATE SURCHARGE(VALUATION) 27.50 <br /> 6216 BAKER ROAD <br /> SUITE 110 TOTAL 746.75 <br /> EDEN PRAIRIE,MN 55346- <br /> Minnesota State License#: 1508 <br /> OWNER <br /> TERRY,JOSEPH&KAIMAY <br /> 5109 RIDGE ROAD <br /> MINNEAPOLIS,MN 55402- <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 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 � e ue cause. ." <br /> �� ./ <br /> � ►5� �.�t... ' � /5� � <br /> Applicant Permite ature Date Is e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCWBED ABOVE. <br />