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• �� CITY OF ORONO * Z 0 1 4 - 0 0 4 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4175 NORTH SHORE DR <br /> PIN : 07-117-23-44-0093 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FOUNDATION ONLY <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 11,907.00 <br /> NOTE: INSTALL INTERIOR DRAIN TILE SYSTEM,SUMP PUMP AND STELL"I"BEAMS FOR ADDITIONAL FOUNDATION SUPPORT. <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> PLAN REVIEW 143.81 <br /> COMPLETE BASEMENT SYSTEMS STATE SURCHARGE(VALUATION) 5.95 <br /> 54004 LOREN DRIVE <br /> MANKATO,MN 56001- TOTAL 371.01 <br /> (507)387-0500 Payment(s) <br /> Minnesota State License#:BUIL-143377 CREDIT CARD 4436 371.01 <br /> OWNER <br /> SAVAGE,ANNE B&WILLIAM C <br /> 4175 NORTH SHORE DR <br /> MOLJND,MN 55364 <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 sepatate <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 1 SO 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 are <br /> requested in conformance with the State Building Code,This permit may be <br /> revoked at any time for due cause. <br /> C ���1,�LC / I � � l�.oZ l � <br /> Applicant Permitee ignature Date Issu By Signature Date <br />