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. CITY OF ORONO PERMIT NO.: 2011-00737 <br /> ' 2750 KELLEY PARKWAY <br /> � *. ORONO, MN 55356- DATE ISSUEn: 08/10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2138 SHADYWOOD RD <br /> PIN : 17-117-23-42-0013 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,762.00 <br /> NOTE: REPLACE(1)WINDOW WITHIN EXISTING OPENING. <br /> APPLICANT pERMIT FEE SCHEDULE 67.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 0.88 <br /> 1920 COLJNTY RD C. WEST TOTAL 68.13 <br /> ROSEVILLE,MN 55113 <br /> (612)502-4777 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> LAGUE,MR&MRS JEROME <br /> 2138 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 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 consVuction 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. <br /> ��/ �`n , / � / / / / <br /> G��. <br /> Applicant Permitee Signature Date Issued y Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED A . <br />