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CITY OF ORONO PERMIT NO.: 2010-01183 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2165 WATERTOWN RD <br /> PIN 03-117-23-21-0025 <br /> LEGAL DESC N/A <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 11,764.00 <br /> NOTE: REPLACE(5)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.88 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 229.13 <br /> Minnesota State License#: 20130983 <br /> OWNER <br /> KANTOR, ROBERT&MONIQUE <br /> 2165 WATERTOWN 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 due cause. <br /> 4. <br /> Applicant Permitee Signature Date Issued By Si ture /Xpate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER TAAN DESCRIBED ABO <br />