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CITY OF ORONO II I 11111 I I II 111111111 II I II I I DI1 I <br /> * 20 1 2 - 00803 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4605 WATERTOWN RD <br /> PIN : 31-118-23-22-0009 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 12,000.00 <br /> NOTE: REPLACE EXISTING WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> ALLSTAR CONSTRUCTION ST TE SURCHARGE(VALUATION) 6.00 <br /> 5145 INDUSTRIAL ST TOTAL 227.25 <br /> SUITE 103 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: BC631574 <br /> OWNER <br /> SERENA,JOHN&JOAN <br /> 4605 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359 <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 /> / / cyof / , (9atztfrt, <br /> Applicant Permitee Signature Date e, <br /> Issues .y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />