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, ` .. CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 4 - 0 1 0 6 8 * <br /> ' � • DATE ISSUED: 10/10/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1810 SHADYWOOD RD <br /> PIN : 17-117-23-21-0027 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 175,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE, ELECTRICAL(STATE) <br /> ADDITION OVER EXISTING HOME. <br /> APPLICANT PERMIT FEE SCHEDULE 1,506.75 <br /> LITE CONSTRUCTION <br /> STATE SURCHARGE(VALUAT[ON) 87.50 <br /> (320)275-3677 TOTAL 1,594.25 <br /> Minnesota State License#: BUIL-1450 Payment(s) <br /> CREDIT CARD 9739 1,594.25 <br /> OWNER <br /> RICHARDSON,CHAD&JENNY <br /> 1810 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 /> S[ate Building Code. This permit is for only the work described and does <br /> no[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 be <br /> revoke at any time for due ause. <br /> - D � I� � li�ti1-�-Y� ���l0 /v � <br /> � i <br /> pplicant Pe itee Signature Date Issued By Signature Date <br />