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CITY OF ORONO * 2 0 1 3 - 0 0 9 5 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2265 BLAINE AVE <br /> PIN : 17-117-23-34-0024 <br /> LEGAL DESC : NAVARRO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: RESIDF <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> ROYALTY REMODELERS STATE SURCHARGE(VALUATION) 5.00 <br /> 3062 121ST AVE NW <br /> COON RAPIDS, MN 55433- TOTAL 196.75 <br /> (612)414-8199 <br /> Minnesota State License#: BC274044 <br /> OWNER <br /> WILCOX, ROBERT <br /> 2265 BLAINE AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich 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 dcscribed and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this typc of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> cxpire and become null and void if construc[ion 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[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ���l�z l ��_ ��' � �f' � �J� � ' L �/ / � �� <br /> � Applican Permitee Signature Date Issu d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />