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, CITY OF ORONO * z � 1 7 — m 1 � a 0 * <br /> I 2750 KELLEY PARKWAY DATE ISSUED: ll/06/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2070 SHORELINE DR <br /> PIN : 15-117-23-21-0005 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 225,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REMODEL REPLACE WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 1,89'7.42 <br /> F&B CONSTRUCTION STATE SURCHARGE(VALUATION) 112.50 <br /> 1743 17TH AVE S TOTAL 2,009.92 <br /> SHAKOPEE,MN 55379- Payment(s) <br /> (952)445-6604 CHECK 59654 2,009.92 <br /> Minnesota State License#: BUIL-BC4327 <br /> OWNER <br /> HIRSCHMANN,MARK&KEELY <br /> 2070 SHORELINE DRIVE <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 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 construc[ion authorized is no[ <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 cequired inspections aze <br /> requested in conformance with the State I3uilding Code.This permit may be <br /> revoked at any time for due causy, <br /> � <br /> �� � � <br /> �� ��� � � , , ;� �, ���;� il ,C� �l <br /> �A icant Permitee Signature D Issu By Signature Date <br />