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CITY OF ORONO <br /> * 2012 - 00699 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1160 TONKAWA RD <br /> PIN : 08-117-23-13-0007 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 009 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 10,652.00 <br /> NOTE: REPLACE(4)WINDOWS INTO EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.33 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 213.83 <br /> Minnesota State License#:BC239369 PAID WITH CC# 3989 <br /> OWNER <br /> STANTON,MARSHALL S&MARLA K <br /> 1160 TONKAWA RD <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 du cause. <br /> �iQ,�l /® 7/ o13/ A,, 9l 07.3/ <br /> / <br /> Applicant Permiture ee SignatDate IssulBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />