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CITY OF ORONO PERMIT iv0.: 2010.00263 <br /> • 2750 KELLEY PARKWAY <br /> � <br /> ORONO, MN 55356- DATE [SSUED: 04/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3450 BIRCH LA <br /> PIN : 08-117-23-43-0023 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,543.00 <br /> NOTE: REPLACE(2)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.77 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 107.02 <br /> Minnesota State License#: 20130983 <br /> OWNER <br /> ENGLER, MR. & MRS. <br /> 3450 BIRCH LA <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 separate <br /> permits. All provisions of laws and ordinances 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �y12Q1� LI� l l ��/V(d�1�� lj <br /> Applicant Permitee Signature Datc Issued B ignature te � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />