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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P06346 <br /> Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair <br /> (952) 249-4600 Date Issued: 6/3/2003 <br /> SITE ADDRESS: 1120 North Shore Dr W <br /> Mound,MN 55364 <br /> PID: 07-117-23-23-0005 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential Construction Type VN <br /> Permit Class: Building Census Code 434 <br /> Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: riumbing iviechanicai Eiecmcai(state) <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 741.75 <br /> Valuation: $ 63,500.00 <br /> Plan Review Fee: $ 482.23 <br /> State Surcharge Fee: $ 32.25 <br /> TOTAL FEE: $ 1,256.23 <br /> APPLICANT: Remodeling Concepts LLC OWNER: Jay A Lezer <br /> 6830 Washington Avenue S 1120 North Shore Dr. W. <br /> Eden Prairie,MN 55344 Mound,MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> G - <br /> APPLICANT PERMITEE SIGNATURE j ISSUED BY SIGNATURE <br /> Conies: 1-File(Sienitures Required), 1-ADolicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 <br />