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i CITY OF ORONO PERMIT NO.: 2010-01089 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/05/2010 <br /> (9521249-1— FAX: 952 249-4616 <br /> ADDRESS 2575 THOROUGHBRED LA <br /> PIN 04-117-23-11-0021 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 004 BLOCK 002 <br /> PERMIT TYPE ; MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 23,694.00 <br /> NOTE: REPLACE(5)WINDOWS <br /> APPLICANT <br /> SCHERER BROS LUMBER PERMIT FEE SCHEDULE 398.25 <br /> 10751 EXCELSIOR BLVD STATE SURCHARGE(VALUATION) 11.85 <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 412.10 <br /> Minnesota State License#:20239369 PAID WITH CC# 3989 <br /> OWNER <br /> SAPLETAL, STEVEN& STACY <br /> 2575 THOROUGHBRED LA <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 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 /> revoked at any time for due cause. <br /> IG2Q.[.Q.t;0) // / R / I _ // &' l /O <br /> Applicant Permitee Signature Date <br /> IssuW By Signature to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />