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CITY OF ORONO PERMIT NO.: 2009-00202 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/01/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> P'DRESS : 835 WINDJAMMER LA <br /> PIN : 07-117-23-11-0008 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 225,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL-ENTIRE INTERIOR REMODEL,NEW WINDOWS,SIDING& <br /> ROOFING,PLUS ADDING ENTRY PORCH&ENCLOSING UNDER EXISTING OVERHANG <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2009-00203 <br /> APPLICANT ADVANCED PLAN REVIEW 1,174.39 <br /> T J B REMODELING&DESIGN,INC. TOTAL 1,174.39 <br /> 9100 BALTIMORE ST NE <br /> BLAINE,MN 55449- PAID WITH CC# 0444 <br /> (763)780-2944 <br /> Minnesota State License#:20396490 <br /> OWNER <br /> HANSON, SCOTT&JENNIFER <br /> 835 WINDJAMMER LA <br /> MOUND,MN 55364 <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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />