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CITY OF ORONO * z 0 1 5 - 0 1 z 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 4375 BAYSIDE RD <br /> PIN : 06-117-23-12-0008 <br /> LEGAL DESC : LJNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 60,000.00 <br /> NOTE: NEW SIDMG&WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 794.64 <br /> STATE SURCHARGE(VALUATION) 30.00 <br /> DAKOTA CRAFTSMAN TOTAL 824.64 <br /> 4011 GLENDALE DRIVE Payment(s) <br /> EXCELSIOR,MN 55331- CREDIT CARD 5019 824.64 <br /> (612)760-0628 <br /> Minnesota State License#: BUIL-20637448 <br /> OWNER <br /> WH(TE, STEVEN& PATRICIA <br /> 4375 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORIv STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 goveming 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 conswction 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 aze <br /> requested in conformance with the State Building Code.This permit may be �)�,.� <br /> revoked y time for d us � �-�� <br /> � i <br /> � <br /> �- ��-� ��� � � � C���c s� ci, z�; l� <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />