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CITY OF ORONO PERMIT NO.: 2010-00329 <br /> , 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE Iss[1En: OS/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1620 SHADYWOOD RD <br /> PIN : 17-117-23-21-0012 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> OK'D BY LYLE OMAN <br /> OPEN WALLS ON MAIN&2ND FLOOR <br /> APPLICANT PERMIT FEE SCHEDULE 73J5 <br /> ROSACKER,DON STATE SURCHARGE(VALUATION) 1.00 <br /> 1620 SHADYWOOD RD <br /> WAYZATA, MN 55391- TOTAL 74.75 <br /> OWNER <br /> ROSACKER, DON <br /> 1620 SHADYWOOD 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 plans and specifica[ions,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 worh which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shal]be compied with whether or not specified herein.This permit will <br /> expire and become nul]and void if construction authorized is not <br /> commenced within 180 days of the da[e of issuance,or if consVuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant responsible for assuring all required inspections are <br /> re e in conf mance with the S Building Code.This permit may be ��� <br /> voked at any e for due cau . r/j' �/ j� <br /> l��4—' ( ( <br /> . <br /> � / �, �'. l ( l �' - , ��'Yj C� ��- � <br /> plicant Permitee Signat re Date � � <br /> Issued By Signa ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />