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CITY OF ORONO * 2 0 1 Z — fd PJ 3 4 4 * <br /> ^ 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012 <br /> ` ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4265 CHIPPEWA LA <br /> PIN : 31-118-23-42-0019 <br /> LEGAL DESC : UNPLATTED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATIOIV : $ 8,000.00 <br /> NOTG: ADDING AN EGRESS WINDOW&WATERPROOFING THE FOUNDATION <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> PHEASANT H[LLS CARPENTY INC. STATE SURCHARGE(VALUATION) 4.00 <br /> 5700 REBECCA PARK TR <br /> LORETTO, MN 55357- TOTAL 166.25 <br /> (612)221-8577 PAID WITH CC# 3163 <br /> Minnesota State License#: 20629764 <br /> OWNER <br /> MCCAFFREY, THOMAS&KATHLEEN <br /> 4265 CH[PPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 7'his permit is for only the work described and does <br /> not gran[permission for additional or related work which rcquires separate <br /> pennits. 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 no[ <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 ap t is responsib for assuring all required inspections are <br /> re ste ' co t r the State Building Code.This permit may be <br /> evo r d u �/� <br /> l! � � i _ <br /> � � � � ; � � � (�LC i�'1 / 1' —30/. <br /> Ap � er rtee �gnature ate Issued Qy Signatu e Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />