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t _ � CITY OF ORONO PERMIT NO.: 2010-01122 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- nATE �ssuEn: 12�09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3721 CASCO AVE <br /> PI N : 20-1 17-23-31-0058 <br /> LEGAL DESC : CASCO HEfGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING - UNDEF[NED <br /> VALUAT[ON : $ 2,269.38 <br /> NOT�: rz�PLnc�.�ooas <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> CREW 2, INC. <br /> 2650 MINNEHAHA AVE STATE SURCHARGE(VALUATION) 5.00 <br /> MINNEAPOLIS, MN 55406- MISC FEE 0.00 <br /> (612)276-1600 TOTAL 93.50 <br /> Minnesota State License#: 20318360 <br /> OWNER <br /> M M JIN, DOUG R WELTY & <br /> 3721 CASCO AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for���hich this pcnnit is issued shall be performed according to <br /> lhe approvcd plans and specifications,applicable City approvals,and the _ <br /> State E3uilding Code. This permit is Ibr only the work described and does <br /> not grant permission for additional or related�vork�vhich requires separate <br /> pcnnits. All provisions of la�vs and ordinances governing this typc of work <br /> shall be compicd with�vhether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced���ithin I 80 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 res nsible for assuring ail required inspections are <br /> requcstcd in co� � r iz e wiUi the State[3uildine Code.This permit may be <br /> revol:efl'�[ra�dti e; r clhe ca� ° <br /> i.- ) _ <br /> (� - /�i / � / ��/ , _ ^ � <br /> Appl � ermitee Signature Date �� ���� ����� �� � � � � <br /> Issue �Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />