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� �. CITY OF ORONO PERMIT NO.: 2010-00173 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1En: 03/25/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1795 SHADYWOOD RD <br /> PIN : 17-117-23-21-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0702 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : .3�9=�TF�'ffRES.B'�R�N B�HtDTNGS1-I�'�� ��` `'<<� `� ���t "� � <br /> VALUATION : $ 5,000.00 <br /> NOTE: <br /> INSPECTION PRIOR TO POURING GARAGE FLOOR IS REQUIRED. <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> BETZ BUILDERS INC. STATE SURCHARGE(VALUATION) 2.50 <br /> 300 CRESTVIEW AVE. TOTAL 120.50 <br /> LONG LAKE,MN 55356 <br /> (612)221-2963 <br /> OWNER <br /> SUNNARBORG&ALIC[A KRASEN, MICHEAL <br /> 1795 SHADYWOOD RD <br /> P.O. BOX 81(NAVARRE <br /> WAYZATA, MN 5392) <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 governing[his type orwork <br /> shall be compied with whether or not specitied 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 appl t is responsible for assuring all required inspections are <br /> reque ed i conformance with the State Building Code.This permit may be <br /> rev ed at ny time for�lu/�}cau <br /> �. � � � � l� <br /> Applicant Permitee Signature Date Iss By Signa ure Date <br /> SE TE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />