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� <br /> ! CITY OF ORONO PERMIT NO.: 2011-00253 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: OS/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3060 SIXTH AVE N <br /> PIN : 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 /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,108.00 <br /> NOTE: REPLACING(2)WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 2.55 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 137.30 <br /> Minnesota State License#:20239369 PAID WITH CC# 3989 <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 /> ��-� �-� � � �J7�yzcyr i �v—�/// <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. <br />