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r � <br /> CITYOFORONO * 2013 - 00658 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 255 CRLSTVIEW AVE <br /> PIN : OS-117-23-14-0021 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 004 BLOCK 002 <br /> PF,RMITTYPE : MINORALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIV[TY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 1,416.00 <br /> NO"f(:: RL PI,ACG PATIO DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> DENNIS SARELL CONSTRUCTION INC STATE SURCHARGE(VALUATION) 0.71 <br /> 1 1368 RED FOX DRIVE <br /> MAPLF GROVE, MN 55369- TOTAL 58.21 <br /> (612) 723-235� <br /> Minnesota State License#t: IR665951 <br /> OWNER <br /> RF.]MAN, STEPHANIE <br /> 255 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> i�he work�br which[his permit is issued shall be performed accordin�to <br /> die approved plans and specifications,applic�ble Cit}�approvals,and the <br /> State Building Code. 'I'his permit is f�or only the work described and does <br /> not grant pem�ission Ibr 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced ti�ithin 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 /> I�he applicant is responsible for assuring all required inspections are <br /> requested� conformance���ith the State Building Code.'i�his permit may be <br /> revuke at• �y time tbr ue cause. <br /> � � � C�������/� �� � / � �� <br /> App icant Permitee,ignature Date Issu By. ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />