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CITY OF ORONO * z 0 1 6 - 0 0 0 � 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU20/2016 <br /> � ORONO, MN 55356- <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 : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 10,000.00 <br /> NOTE: REPLACE(2)BASEMENT SLIDERS,REINSULATE MAIN ROOM CEILING AND REROOF. <br /> APPLICANT PERMIT FEE SCHEDULE 20132 <br /> REVISION LLC PLAN REVIEW 130.86 <br /> 153 E LAKE STREET STATE SURCHARGE(VALUATION) 5.00 <br /> WAYZATA,MN 55391- TOTAL 337.18 <br /> (952)540-7150 Payment(s) <br /> Minnesota State License#: BU[L-BC639027 CREDIT CARD 6592 337.18 <br /> OWNER <br /> MATEFFY,JOSH&CAIT[ <br /> 1790 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 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 suring aIl required inspections are <br /> requested in conform e wit e State Building Code.This permit may be i , � <br /> revoked at for du ause. -- ��� <br /> � �� -; � � `� �; � <br /> ,�� (�, , _ ' __ �L.�'��`� � :��,� <br /> p cant tee Signature Date Issued By Signature Date <br />