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, . . CITY OF ORONO * z 0 1 z - 0 0 8 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2012 <br /> r ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1495 GREEN TREES RD <br /> PIN : 11-117-23-23-0012 <br /> LEGAL DESC : GREEN TREES ON TANAGER LAKE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCT[ON TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RES[DENTIAL <br /> VALUATION : $ 11,550.00 <br /> NOTE: SEPEKATE PERMITS REQUIRED: PLUMBING,ELECTRICAL(STATE) <br /> REMODEL MAIN BA'I�I� <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> BOYER BU[LDING CORPORAT[ON PLAN REVIEW 143.81 <br /> 3435 COUNTY ROAD 101 <br /> MINNETONKA, MN 55345 STATE SURCHARGE(VALUATION) 5.78 <br /> (612)475-2097 TOTAL 370.84 <br /> Minnesota State License#: 2988 <br /> OWNER <br /> BRASS, JAMES&JUDITH <br /> 1495 GREEN TREES RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIV STATEMENT <br /> The work for which this permit is issued shall be perrormed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate I3uilding Code. This permit is for only 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 if construction authorized is not <br /> commenced within I days of the date of issuance,or if construction is <br /> suspended for a pe 'od of 180 days at any time aRer work has commenced. <br /> The applicant is r spo�sible for assuring all required inspections are <br /> re ste �n co or nce ith the State[3uilding Code.This permit may be <br /> evoked a any i for ause. <br /> i � __ <br /> �.~-'� V / �17 /�2.��,"-=. : t� /p��/ � d—� <br /> Appli ant Permitee ignatur Date Issu By Signature Date <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />