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CITY OF ORONO * z 0 1 z — B 0 1 e 9 * <br /> _ , 2750 KELLEY PARKWAY DATE ISSUED: 03/15/2012 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERMIT TYPE : ADDITION/REMODEL/REPA[R <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 25,000.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHANICAL, ELECTRICAL(STATE) <br /> REMODEL KITCHEN AND BATH <br /> ADV . PLAN REVIEW PD 3/12/12 ON PERMIT 2012-00188 $268.45 <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> WELLSWOOD GROUP STATE SURCHARGE(VALUATION) 12.50 <br /> 1444 BALDUR PARK DR <br /> WAYZATA, MN 55391- TOTAL 425.50 <br /> OWNER <br /> WELLSWOOD GROUP <br /> 1444 BALDUR PARK 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 perniit is for only the work described and does <br /> not grant permission for additional or related work which reyuires separate <br /> pennits. 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 /> reque in conformance with the State Building Code.This permit may be <br /> revo ed t any tim�or due cause. /�`., <br /> :. . � / <br /> _-�=�--_ � �/S_' //Z x� t � ��� -�'�,,-�� ( l!j l <br /> A+pplicant Permitee Signature Date v � ( �` ` � � / � _/S ��}- <br /> Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />