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II III 111 II 11 HO I I 1 I .11 <br /> CITY OF ORONO <br /> * 2013 - 00392 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 WEAR LA <br /> PIN : 04-117-23-21-0018 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 104,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING, ELECTRICAL(STATE) <br /> ADDITION <br /> APPLICANT PERMIT FEE SCHEDULE 1,080.75 <br /> SHORELINE BUILDERS STATE SURCHARGE(VALUATION) 52.00 <br /> 2184 SHADYWOOD RD <br /> WAYZATA, MN 55391- TOTAL 1,132.75 <br /> (763)506-0629 <br /> Minnesota State License#: BC630814 <br /> OWNER <br /> VIETH, PAUL&JILL <br /> 80 WEAR LA <br /> LONG LAKE, MN 55356- <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 re •: 'r.le for assuring all required inspections are <br /> requested in s or •:nce with to;:' <br /> ate Building Code.This permit may be <br /> revoked a .ny e for due c.. <br /> 1/3 7/dc)4 l 3 <br /> )10ircant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />