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111111111111111111111 nil 11111111111111111111 11M <br /> CITY OF ORONO * z 0 1 z _ 0 0 8 8 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 150 NORTH SHORE DR W <br /> PIN' 06-117-23-22-0023 <br /> LEGAL DESC CHADWICK <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DECK ATTACHED <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 2,200.00 <br /> NOTE: ATTACHED DECK <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> JON THOMA DRYWALL PLAN REVIEW 57.53 <br /> 7305 SCOT TERRACE <br /> EDEN PRAIRIE,MN 55346- STATE SURCHARGE(VALUATION) 1.10 <br /> (952)465-9049 TOTAL 147.13 <br /> Minnesota State License#:20443203 <br /> OWNER <br /> DZUBAY,STEVEN&JULIE <br /> 150 NORTH SHORE DR W <br /> MAPLE PLAIN,MN 55359- <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 /> revoked at any time for due cause. /7/7 <br /> Appl cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />