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CITY OF ORONO * z 0 1 2 - PJ 0 4 6 2 * <br /> . �` 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2012 <br /> � ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1205 SHORELINE DR <br /> PIN : 02-117-23-43-0015 <br /> LEGAL DESC : REG.LAND SURVEY NO.0397 <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 : $ 1,056.00 <br /> NOTE: REPLACE(2)GARAGE WINDOWS <br /> APPLICANT pERMIT FEE SCHEDULE 44.50 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 0.53 <br /> 2690 CUMBERLAND PKWY,STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 47.03 <br /> Minnesota State License#:20268257 <br /> OWNER <br /> JACKLEY ET AL,JAY M <br /> 1205 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speci£ed 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due Lause. <br /> `y�.c�(. �. � i i i <br /> Applicant Permitee Signature Date Issued By gnature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />