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• CITY OF ORONO PERMIT NO.: 2011-01534 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 12/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4720 BAYSIDE RD <br /> PIN : 31-118-23-33-0015 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,500.00 <br /> NO"11:: RGPLACF,WOOD SIDING ON FRON"I�SIDE OF HOUSE ONLY. <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 4.25 <br /> 2876 MIDDLE STREET <br /> ST PAUL, MN 55109- MAIL-IN FEE 2.00 <br /> (763)244-9199 TOTAL 183.25 <br /> Minnesota State License#: 20598207 PAID WITH CC# 1864 <br /> OWNER <br /> ACHEY, PETER& CHRISTINE <br /> 4720 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT � <br /> The�ti�ork 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 permi[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 oPwork <br /> shall be compicd with whether or not specified herein.This permit will <br /> expire and bccome 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 wnformance with the State Building Code.This permit may be <br /> revoked at any[ime Yor due use. <br /> �`'vLt_a�e� /o�i ��-� �/ C�✓�.-`L /� � � / <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />