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' "' CITY OF ORONO PERMIT NO.: 2009-000i� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISsuED: OU22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2040 SHADYWOOD RD <br /> PIN : 17-117-23-31-0013 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,000.00 <br /> NOTE: <br /> REPLACE 6 WINDOWS IN EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE r--- 177.00 <br /> ZOSCHKE,DAVID&JUDY STATE SURCHARGE(VALUATION) 4.50 <br /> 2040 SHADYWOOD RD TOTAL 181.50 <br /> WAYZATA,MN 55391 <br /> PAID WITH CASH 181.50 <br /> OWNER <br /> ZOSCHKE,DAVID&JUDY <br /> 2040 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 does <br /> not grant permission for additional or related work which requires sepazate <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 autfiorized 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 aze <br /> requested in conformance wi e State Building Code.This permit may be <br /> revol�sd-at,any time for du ca se. <br /> .. _ . � / / <br /> A p icant Permitee Signature Date s e By ignature Date <br /> SEP RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />