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b ' CITY OF ORONO * Z 0 1 3 — 0 0 9 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3650 CASCO AVE <br /> PIN : 20-117-23-31-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 147 <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 /> VALUAT[ON : $ 8,753.00 <br /> NOTE: REPLACF,(1)WINDOW <br /> APPLICANT pERMIT FEE SCHEDULE 177.00 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.38 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 183.38 <br /> Minnesota State License#: BC239369 PAID WITH CC# 3989 <br /> OWNER <br /> GERSOVITZ, MR. & MRS. <br /> 3650 CASCO AVE <br /> WAYZATA, MN 55391- <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 separa[e <br /> permits. All provisions of laws and ordinanccs 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 th State Building Code.This permit may be <br /> revoked at any time for due cause �,���/��_ <br /> /� <br /> ���/3 ��.o, / <br /> Applicant Permitee Signature Date ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />