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� . CITY OF ORONO * z 0 1 4 - 0 0 7 5� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0014 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> C NSTRUCTION TYPE : ADDN/RE) MODEL/REPAIR <br /> .....t�i �/o.Y_� 1..� J y ��\-E_.i--1��.:i�L'f i c�.....�. <br /> VALUATION : $ 200,000.00 <br /> NOTE: SEPARATE PERM[TS REQUIRED: PLUMBING,MECHANICAL„I;LECTRICAL(STATG) <br /> 2-STORY ADDITION REAR OF HOUSE <br /> N : R[OE2 TO RELF.ASF,OF ESCROW FUNDS,AN AS-BUILT SURVEY MUST BG SUBMIT7'ED AND APPROVE?D. INITIAI.: <br /> APPLICANT PERMIT FEE SCHEDULE 1,656.75 <br /> STATE SURCHARGE(VALUATION) 100.00 <br /> TIVOLI DESIGN BUILD REMODEL <br /> 15 MYRTLEWOOD RD TOTAL 1,756.75 <br /> WAYZATA, MN 55391- Payment(s) <br /> (612)290-0482 CHECK 8717 1,756.75 <br /> Minnesota State License#: BUIL-BC680773 <br /> OWNER <br /> RYAN, STEVEN &ANNE <br /> 25 MYRTLEWOOD RD <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. l�his 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.1"his permit will <br /> expire and become null and void if consiruction authorized is not <br /> commenced within 18 s o� e date of issuance,or iT construction is <br /> suspended for a pe d oP i AO day�at any time after work has commenced. <br /> The applicant i esponsible for assuring all required inspections are <br /> requested in nformance wit 'the State Building Code.This permit may be <br /> revoked at y tin for due ause. '� <br /> . <br /> g� �-/�/ �' �a 7��� <br /> Applic nt P mit e Signature Date Issu d y Signature Date � <br />