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CITY OF ORONO * 2 0 1 3 - 0 PJ 9 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 600 BIG ISLAND <br /> PTN : 22-117-23-31-0034 <br /> LEGAL DESC : ISLAND POINTE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS ��,�<; �,.%,.s`k`�, <br /> VALUATION : $ 10,780.00 <br /> NOTG: REPLACE 8 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.39 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 213.89 <br /> Minnesota State License#: BC130983 PAID WITH CC# 8788 <br /> OWNER <br /> ADAMS, DONNA L <br /> 203 MILL ST#202 <br /> EXCELSIOR, MN 55331- <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 /> Sta[e Building Code. This permit is for only the work describcd 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 oY the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with�he State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />