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� , CITY OF ORONO * Z 0 1 7 - PJ P1 2 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2060 NORTH SHORE DR <br /> PIN : 10-117-23-31-0003 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTI V ITY : 434-RESIDENTIAL <br /> VALUATION : $ 40,000.00 <br /> NOTE: SEPARATE PERM[TS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> ADDING A BATHROOM WHERE AN EXIST[NG BEDROOM IS CURRENTLY <br /> APPLICANT PERMIT FEE SCHEDULE 603.02 <br /> PLAN REVIEW 391.96 <br /> DWELLWELL DESIGN LLC STATE SURCHARGE(VALUATION) 20.00 <br /> P.O. BOX 1014 <br /> FOREST LAKE,MN 55025- TOTAL 1,014.98 <br /> (612)532-6046 Payment(s) <br /> Minnesota State License#: BUIL-BC636556 CREDIT CARD 0431 1,014.98 <br /> OWNER <br /> GODFREY, LYLE&NORMA <br /> 2060 NORTH SHORE DR <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 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 conformance with the State Building Code.This permit may be <br /> revo�d`aT�y time for d e cause. <br /> _... �_, � , <br /> __ ......__, _ ._. _ _ ._ `P l � � � �.� � l� <br /> Appl can � ' e Signature ate Issue y Signature Date <br />