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' CITY OF ORONO PERMIT NO.: 2009-00446 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 07/30/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 600 BIG ISLAND <br /> PIN : 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 <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,673.00 <br /> NOTE: ] WINDOW REPLACEMENT IN EXISTING OPENING <br /> APPLICAI�TT pERMIT FEE SCHEDULE 88.50 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 134 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 91.84 <br /> Minnesota State License#:20268257 <br /> OWNER <br /> ADAMS, GEORGE& DONNA <br /> 9581 V[RGINIA AVE <br /> BLOOMINGTON, MN 55438- <br /> AGREEMENT AND SWORN STATEMENT <br /> "1'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only[he work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of wark <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 /> revoked a[any time for due cause. <br /> `�1�t a.c.Q �l�l_ l l l l <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO <br />