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- CITYOFORONO * 2016 - 00748 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2016 <br /> � i ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1670 SHADYWOOD RD <br /> PIN : 17-117-23-21-0015 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,196.50 <br /> NOTE: INSTALL HOUSEWRAP,REMOVE AND REPLACE SIDING ON 2 GARAGES <br /> APPLICANT PERMIT FEE SCHEDULE 216.81 <br /> STATE SURCHARGE(VALUATION) 5.10 <br /> METRO SIDING TOTAL 221.91 <br /> 17258 ULYSSES ST Payment(s) <br /> ELK RIVER,MN 55330- CREDIT CARD 5492 221.91 <br /> (763)557-1808 <br /> Minnesota State License#:BUIL-4861 <br /> OWNER <br /> KIELLEY,DONALD&ARLENE <br /> 1670 SHADYWOOD 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. This permit is for only the work described and dces <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.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 are <br /> requested in conformance with the State Building Code.This permit may ba <br /> revoked at time for due cause. <br /> `�� !�i �7i/!o <br /> Appli t Permitee Signa re Date Issue Signature Date <br />