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� � � ' CITY OF ORONO PERMIT NO.: 2010-OOOOb <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE isSUEn: OU05/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS� : 2650 SILVER VIEW DR <br /> PIN : 33-118-23-42-0009 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 120,000.00 <br /> NOTE: REPAIR OF WINDOWS,DOORS,AND STUCCO FROM TORNADO DAMAGE. <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 1,176.75 <br /> GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 60.00 <br /> 8385 IOTH AVE N <br /> GOLDEN VALLEY, MN 55427- TOTAL 1,236.75 <br /> (763)546-1300 PAID WITH CC# 4153 <br /> Minnesota State License#: 1796 <br /> OWNER <br /> DAVIS, MICHAEL& LINDA <br /> 2650 SILVER VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he approved plans and specifications,applicable City approvals,and the <br /> S[ate 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[his 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 wi[hin 180 days of the date of issuance,or if cons[ruction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> pplicant is res onsible for assuring all re uired inspections are <br /> reques in conform with t State Build g Code.This permit may be <br /> rev�ked a ny time fo tlu <br /> � <br /> � � ( l � l � � � i �' ioZ(.� lC� <br /> Ap icant Permitee Sign tu Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />