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, � . CITY OF ORONO * z 0 1 6 - 0 1 1 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3710 LIVINGSTON AVE <br /> PIN : 17-117-23-34-0060 <br /> LEGAL DESC : LAKE MINNETONKA WOODS <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTNITY : 434-RESIDENTIAL <br /> VALUATION : $ 5,449.80 <br /> NOTE: SEPARATE PERM[TS REQUIRED: ELECTRICAL(STATE) <br /> THIS PERMIT W[LL COVER WOK AT 37t0,3712,3714&3716 LN[NGSTON AVE <br /> FIRE DAMAGE FROM LIGHTNING. <br /> PERMIT WILL BE KEYED UNDER 3710 LIVINGSTON AVE <br /> APPLICANT PERMIT FEE SCHEDULE 139.36 <br /> LINDSTROM CLEANING&CONSTRUCTION PLAN REVIEW 90.58 <br /> 9621 l OTH AVE N STATE SURCHARGE(VALUATION) 2.73 <br /> PLYMOUTH, MN 55441- TOTAL 232.67 <br /> (763)544-8761 Payment(s) <br /> Minnesota State License#: BUIL-BC001087 CHECK 307639 232.67 <br /> OWNER <br /> GRAMS, SHIRLEY <br /> 3710 LNINGSTON AVE <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 pennission 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 auUiorized 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 afrer 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 c <br /> �.?� d� �/.h <br /> pplicant Permitee Si ature Da Issued B ignature Date <br />