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CITY OF ORONO * Z 0 1 4 - 0 0 2 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2014 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3739 LIVINGSTON CT <br /> PIN : 17-117-23-34-0076 <br /> LEGAL DESC : LAKE MINNETONKA WOODS <br /> : LOT O11 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 39,337.71 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REPAIR AND RESTORE HOME DUE TO WATER DAMAGE <br /> APPLICANT PERMIT FEE SCHEDULE 574.25 <br /> STATE SURCHARGE(VALUATION) 19.67 <br /> LINDSTROM RESTORATION TOTAL 593.92 <br /> 9621 IOTH AVE.N. Payment(s) <br /> PLYMOUTH, MN 55441- CHECK 030825 593.92 <br /> Minnesota State License#: BUIL-1087 <br /> OWNER <br /> LUTZ,MITCHELL <br /> 3739 LIVINGSTON CT <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIVT <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 sepazate <br /> permits. All provisions of laws and ordinances goveming this rype 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 1 SO 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _:=r � �-a7- /� O /0?7�/ <br /> Applicant Per itee Signature Date Iss d By Signature Date <br />