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, � CITY OF ORONO PERMIT NO.: 2010-01004 <br /> 2750 KELLEY PARKWAY <br /> , <br /> ORONO, MN 55356- DATE ISSUED: 10/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 99 SIXTH AVE N <br /> P1N : 25-118-23-44-0012 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 78,900.00 <br /> NO"1'F,: REPLACE SIDING AND WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 899.25 <br /> CHOICE WOOD COMPANY <br /> 3300 GORHAM STATE SURCHARGE(VALUATION) 39.45 <br /> ST. LOUIS PARK, MN 55426 TOTAL 938.70 <br /> (612)924-0043 <br /> Minnesota State License#: 1532 <br /> OWNER <br /> BRISCOE,MR. & MRS. <br /> 99 SIXTH AVE N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for whidi this permit is issucd 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 construction authorized is not <br /> commenced within 180 days of[he date of issuance,or if cons[ruction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all equired inspections are <br /> requested in conformance with the St ilding Code.This permit may be <br /> rcvoked at any ti r du us . <br /> - /o i / l�t i l <br /> Applicant P ignature Date Issue B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />