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t <br /> CITY OF ORONO PERMIT NO.: 2011-00701 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE�SSUED: 07/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1790 SHADYWOOD RD <br /> PIN : 17-117-23-21-0025 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CHIMNEY-REPAIR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,450.00 <br /> NOTE: REBUILD THE TOP 4 COURSES OF BRICK CHIMNEY <br /> APPLICAI�TT PERMIT FEE SCHEDULE 57.50 <br /> DAYCO GENERAL INC <br /> P O BOX 278 STATE SURCHARGE(VALUATION) 0.73 <br /> LORETTO, MN 55357- MISC FEE 0.00 <br /> (612)684-1243 TOTAL 58.23 <br /> Minnesota State License#: 20266544 PAID WITH CC# 2904 <br /> OWNER <br /> EHLERS,TROY <br /> 1790 SHADYWOOD RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which this permit is issued shali 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 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 conformance with the State Buildi Code.This permit may be <br /> rev ke at a y time for e cause. <br /> / / / / <br /> p cant ermrtee ignature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A E. <br />