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� � <br /> CITY OF ORONO PERMIT NO.: 2009-00036 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISsuEn: 02/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3200 NORTH SHORE DR <br /> PIN : 08-117-23-41-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 46,926.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE PERMIT) <br /> APPLICANT pERMIT FEE SCHEDULE 649.50 <br /> FIRST STREET CONSTRUCTION INC. PLAN REVIEW 422.18 <br /> 417 E 1 ST ST. STATE SURCHARGE VALUATION 23.46 <br /> WACONIA,MN 55387 � ) <br /> (952)442-4602 TOTAL 1,095.14 <br /> Minnesota State License#:BC-4141 <br /> OWNER <br /> HENDRICKSON,RICK&SHIRLEY <br /> 3200 NORTH SHORE DR <br /> WAYZATA,MN 55391 <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 additionai 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revo t any time f d�cause. <br /> v <br /> l l l �/ �Q <br /> pplic ermitee Signatu e Date s d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />