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�w. <br /> CITY OF ORONO PERMIT NO.: 2009-00364 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1En: 07/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1710 SHADYWOOD RD <br /> PIN : 17-117-23-21-0018 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 40,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> BATH REMODEI. <br /> APPLICANT PERMIT FEE SCHEDULE 574.25 <br /> VERTICAL GRAIN BUILDERS LLC PLAN REVIEW 373.26 <br /> 273 GEORGE ST W <br /> ST PAUL,MN 55107- STATE SURCHARGE(VALUATION) 20.00 <br /> (651)225-1374 TOTAL 967.51 <br /> Minnesota State License#:20520571 <br /> OWNER <br /> FITZPATRICK,JOHN&JOAN <br /> 1710 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 does <br /> not grant permission for additional 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 construc[ion 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 be <br /> revoked at any time for due cau . <br /> - Ls i!7 v/ '/ l ;' l ,J � �7 <br /> / / � �/ � <br /> Applicarf'f ermitee Signature Date I s ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />