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CITY OF ORONO PERMIT NO.: 2010-00943 <br /> ., ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 165 BROWN RD S <br /> PIN : 10-117-23-24-0020 <br /> LEGAL DESC : UNPLATTED ]0 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTF.: REPLACE WINDOWS AND DOOR INTO EXISTING OPF.,NINGS <br /> \ <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> NIELSEN, ERIC <br /> P.O. BOX 54 STATE SURCHARGE(VALUATION) 5.00 <br /> CRYSTAL BAY, MN 5532r TOTAL 16725 <br /> PAID WITH CC# 2237 <br /> OWNER <br /> NIELSEN, ERIC <br /> P.O. BOX 54 <br /> CRYSTAL BAY, MN 5532:r <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 E3uilding Code. This permit is(or 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 specitied herein.This permi[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 � e � f 180 days at any time after work has commenced. <br /> The ap cant i esp nsible for assuring all required inspections are <br /> reque ted i nf ance with the State Building Code.This permit may be <br /> revo a y ' e for due cause. <br /> /� / � / / v /� � � <br /> Applicant Permitee Signature Date issu I3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />