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. , CITY OF ORONO * 2 0 1 7 - e 1 4 2 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1UO2/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1680 SHADYWOOD RD <br /> PIN : 17-117-23-21-0016 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,FIREPLACE,ELECTRICAL(STATE) <br /> PERMIT FOR WINDOW FRAMING ONLY <br /> FINAL CAN BE SIGNED OFF AT FRAMING INSPECTION. <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> CROSSROADS REMODELING LLC STATE SURCHARGE(VALUATION) 2.00 <br /> 7256 MACIVER AVE NE TOTAL 110.38 <br /> ALBERTVILLE,MN 55301- Payment(s) <br /> (952)217-0148 CREDIT CARD 2936 11038 <br /> Minnesota State License#:BUIL-BC 721767 <br /> OWNER <br /> DOLEMAN,JOHN <br /> 1680 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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> / .Z � // i 0 a�i / � <br /> Appli ant Permitee Signature te ssued By gnature Date <br />