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CITY OF ORONO PERMIT NO.: 2009-00784 <br /> • 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUEn: 1U04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4760 BAYSIDE RD <br /> PIN : 31-118-23-33-0012 <br /> LEGAL DESC : BAYSIDE HILLS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 48,000.00 <br /> NOTE: REPLACE WINDOWS AND REROOF SMALL FLAT ROOF <br /> APPLICANT pERMIT FEE SCHEDULE 660.25 <br /> EXCEL CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 24.00 <br /> 17723 227TH AVE <br /> BIG LAKE, MN 55309- TOTAL 684.25 <br /> (651)895-9003 <br /> Minnesota State License#: 20391158 <br /> OWNER <br /> BARNUM, MARCIA&GREGORY <br /> 4760 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with wficther 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �i � l.�- � o� � //� D � Ug <br /> Applicant Permitee Signature ate Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />