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CITY OF ORONO * Z 0 1 3 - 0 1 3 0 5� <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 12/19/2013 <br /> , ' ORONO,MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2155 SHEVLIN DR <br /> PIN : 03-117-23-34-0006 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : 'RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 21,099.00 <br /> APPLICA T PERMIT FEE SCHEDULE 368.75 <br /> HOME EXTERIORS INC STATE SURCHARGE(VALUATION) 10.55 <br /> 7950 CO RD 26 TOTAL 379.30 <br /> MINNETRISTA,MN 55359- , Payment(s) <br /> (612)270-2142 CHECK 9490 379.30 <br /> Minnesota State License#: BUIL-�C 2031530 <br /> OWNE <br /> PAULSON,MR.&MRS. <br /> 2155 SHEVLIN DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shsll be performed according to <br /> the approved plans and specifications,appliicable City approvals,and the <br /> State Building Code. This permit is for onl�the work described and does <br /> not grant permission for additional or relate work which requires sepazate <br /> permits. All provisions of laws and ordin es goveming this type of work <br /> shall be compied with whether or not speci ed 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 i suance,or if construction is <br /> suspended for a period of 180 days at any ti e after work has commenced. <br /> The applicant is responsible for assuring all equired inspections aze <br /> requested in conformance with the State Bu Iding Code.This permit may be <br /> revoked at any time for d ause. <br /> � / / <br /> plicant Permitee Signature Date Issued By ' nature Date <br /> � " <br />