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, CITY OF ORONO * z 0 1 6 - 0 1 0 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1849 FAGERNESS PO[NT RD <br /> PIN : 17-117-23-23-0021 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : DECK REPAIR(REPLACE BOARDS) <br /> VALUATION : $ 12,000.00 <br /> NOTE: REBUILD DECK <br /> APPLICANT PERMIT FEE SCHEDULE 232.30 <br /> STATE SURCHARGE(VALUATION) 6.00 <br /> VANTAGE CONSTRUCTION SERVICES, LLC TOTAL 238.30 <br /> 14355 24TH ST Payment(s) <br /> WATERTOWN, MN 55388- CHECK 6217 238.30 <br /> (612)272-2828 <br /> Minnesota State License#: BUIL-BC647228 <br /> OWNER <br /> SHUMAN,THOMAS& STACY <br /> 1849 FAGERNESS PT 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 pians and specifications,applicable City approvals,and the <br /> State E3uilding 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> revoked at any time for due cause. ` <br /> �__... _---� � <br /> �?� `7� �'7 ��r � 't' L �i� 1/ � l l - <br /> Applicant Permitee Signature Da Issued By ature Date <br />