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CITY OF ORONO PERMIT NO.: 2009-00888 <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/18/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2605 LYDIARD CIR <br /> PIN : 20-117-23-14-0001 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 46,415.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> TWO ADJOINING BATHROOMS-EACH BEING REMODELED. <br /> APPLICANT pERMIT FEE SCHEDULE 649.50 <br /> D.R.SCHLJLTZ&ASSOCIATES INC. PLAN REVIEW 422.18 <br /> 4624 W LAKE HARRIET PARKWAY <br /> MINNEAPOLIS,MN 5541a STATE SURCHARGE(VALUATION) 23.21 <br /> (612)925-4328 TOTAL 1,094.89 <br /> Minnesota State License#: 3756 <br /> OWNER <br /> LERVIK,GARY MALTZEN&BONNIE <br /> 2605 LYDIARD CIR <br /> EXCELSIOR,MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shail 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 sepazate <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 withi days of the date of issuance,or if construction is <br /> suspended for perio of 180 days at any time after work has commenced. <br /> The appli t is res nsible for assuring all required inspections aze <br /> reques in conf ance with the State Building Code.This permit may be <br /> revo d at an �me for due cause. <br /> Z / � �/ ��/�(/ /� <br /> licant Permi ee Signature Date Iss y �gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />