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i' <br /> ; CITY OF ORONO * z 0 1 6 - 0 0 7 8 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 715 FERNDALE RD N <br /> PIN : 36-118-23-11-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1031 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> VA��rr v,�-F�i /S �� � `� <br /> UATION : �24,000.00 <br /> NOTE: RESIDING <br /> APPL[CANT PERMIT FEE SCHEDULE 418.18 <br /> STATE SURCHARGE(VALUATION) 12.00 <br /> BILL KROUT CONSTRUCTION TOTAL 430.18 <br /> 7088 LEE STREET Payment(s) <br /> GREENFIELD,MN 55357 CREDIT CARD 1356 430.18 <br /> (612)839-3024 <br /> Minnesota State License#: BUIL-BC634424 <br /> OWNER <br /> LYMAN,RICHARD <br /> 715 FERNDALE RD N <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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Gy � <br /> ��� � � � � � � <br /> Applicant P ee gnature Date Issued Signature Date <br />