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r • a <br /> CITY OF ORONO PERMIT NO.: 2011-01053 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUED: 09/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 135 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0023 <br /> LEGAL DESC : H[LL O'WAY MANOR <br /> : LOT 018 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 4,278.00 <br /> NOTE: WINDOW REPLACEMEN7' <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 2.14 <br /> ]0751 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL ]22.14 <br /> Minnesota State License#: 20239369 PAID WITH CC# 3989 <br /> OWNER <br /> ETAL, ROBERT HOWE <br /> 135 CHEVY CHASE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for N�hich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I'his 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 I 80 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 /> revo d at any time for due ca <br /> �� �� / � � �� � % � <br /> Applicant Permitee Si re Date ]ssue y Signature Date � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />