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� CITY OF ORONO * Z 0 1 2 - 0 0 7 3 6 * <br /> ♦ 2750 KELLEY PARKWAY DATE ISSUED: 07/3U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2675 SILVER VIEW DR <br /> PIN : 33-118-23-42-0012 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : DOORS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 1,500.00 <br /> NOTE: REPLACE(1)PATIO SLIDER DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> THOMPSON LLC STATE SURCHARGE(VALUATION) OJS <br /> 6108 BARTLETT BLVD. <br /> MOUND, MN 55364- TOTAL 58.25 <br /> (952)393-5349 PAID WITH CC# 7393 <br /> Minnesota State License#: 20602456 <br /> OWNER <br /> VAN OVERBEKE, PETER&AMANDA <br /> 2675 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 /> 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. AII 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 /> requested in conformance with the State Building Code.This permit may be <br /> r ked at any time for due cause. <br /> � / 31 / �ti,Z ��� -1/ �l l ! Z. <br /> Applicant Permitee Signat e Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />