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CITY OF ORONO PERMIT NO.: 2009-00340 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssUEv: 06/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3060 SIXTH AVE N <br /> PIIY : 28-118-23-32-0014 <br /> LEGAL DESC : LESLIE ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 43,854.00 <br /> NOTE: REPLACE 27 WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 617.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 21.93 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 641.18 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> KOSEK, CHRISTOPHER&HEATHER <br /> 3060 SIXTH AVE N <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. All provisions of laws and ordinances goveming 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 /> revoked at any time for due cause. �� ��� ��� <br /> ���,����.�� � �'�l l � � i �_��,�_ c_ C7��Ce �7 i i <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />