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. , <br /> . CITY OF ORONO * Z 0 1 6 — 0 PJ 6 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2710 KELLY AVE <br /> PIN : 21-117-23-23-0034 <br /> LEGAL DESC : VERN-MAR MANOR <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . ADDN/REMOD�EL/REPAIR <br /> V� ��vi l:� ��_3�/ _ '_�� �i � . �,y r r_ / <br /> UATION : $ 111,05�00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> ADDITION TO HOME <br /> NOTE:CONSTRUCTION VALUE WAS CHANGED BY ROGER. FROM$55,000.00 TO$111,056.00. THE DIFFERENCE OF THE COST OF <br /> THE PLAN REVIEW WILL HAVE TO BE PAID WHICH IS:$279.63 AND WILL BE INCORPORATED INTO THIS PERMIT COST. <br /> APPLICANT PERMIT FEE SCHEDULE 1,185.52 <br /> PLAN REVIEW 279.63 <br /> ROBIN, RESTORATION STATE SURCHARGE(VALUATION) 55.53 <br /> 2080 SHORELINE DR <br /> WAYZATA, MN 55391- TOTAL 1,5 <br /> Payment(s) <br /> CHECK 2293 , 1,520.68 <br /> OWNER <br /> RESTORATION,ROBIN <br /> 2080 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 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 180 days of the date of issuance,or if construction is <br /> suspended for a peri o 0 days at any time after work has commenced. <br /> The applicant is re onsibl for as uring all required inspections are <br /> requested in con rmance ith th State Building Code.This permit may be <br /> revoked at any tSme for d e caus �l�'� <br /> / � , � c <br /> � ��( ,'. 1 � �,L_� � <�L: �.C' � � � � <br /> �� �S� <br /> ApplicanU,Pe e ignature a e Issued By Signature Date <br /> �/ <br />