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CITY OF ORONO * 2 0 1 4 - 0 0 8 9 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 2705 WALTERS PORT LA <br /> PIN 21-117-23-23-0043 <br /> LEGAL DESC WALTERS PORT <br /> LOT 002 BLOCK 003 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADDN/REMODEL/REPAIR <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,DRIVEWAY,ELECTRICAL(STATE) <br /> KITCHEN BATH AND BEDROOM REMODEL <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> LECY BROS HOMES STATE SURCHARGE(VALUATION) 7.50 <br /> 15012 HWY 7 TOTAL 273.00 <br /> MINNETONKA,MN 55345- Payment(s) <br /> (952)944-9499 CHECK 39406 273.00 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> CROSBY, RICHARD&PATRICIA <br /> 2705 WALTERS PORT LA <br /> EXCELSIOR, MN 55331- <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 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 nformance with the State Building Code.This permit may be <br /> revo d y time due cause. <br /> Applicant Permitee Signature Date Issued y Si ture Date <br />