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. � CITY OF ORONO * 2 0 1 4 - 0 0 5 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1265 SHORELINE DR <br /> PIN : 02-117-23-34-0010 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1123 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 125,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> NOTE: ***APPLICANT ACKNOWLEDGES ENGINEER COMMENTS. INITIAL: � <br /> APPLICANT PERMIT FEE SCHEDULE 1,206.75 <br /> STATE SURCHARGE(VALUATION) 62.50 <br /> LAKE COUNTRY BUILDERS, LTD TOTAL 1,269.25 <br /> 339 2ND STREET Payment(s) <br /> EXCELSIOR, MN 55331 CREDIT CARD 5580 1,269.25 <br /> (952)474-7121 <br /> Minnesota State License#: BUIL-20349679 <br /> OWNER <br /> MCCABE,ROGER <br /> 1265 SHORELINE DR <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 onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 i struction authorized is not <br /> commenced wit 'n 180 days t e date f issuance,or if construction is <br /> suspended f a pen of 1 days at an time after work has commenced. <br /> The applic t is respons for assuring II required inspections are <br /> requested' conformance 'th the State uilding Code.This permit may be <br /> revoked at any time for due use. <br /> 1C a o ( , , <br /> Ap �can P itee Signature ate Issued By ature Date <br />