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, �. <br /> CITY OF ORONO PERMIT NO.: 2009-00199 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: OS/1 U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 265 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0022 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,500.00 <br /> NOTE: WORK BEING DONG: RESIDE GXTERIOR,INSTALL WINDOW AND DOOR IN BACK BEDROOM,VAULT BACK BEDROOM <br /> CEILING AND REROCK. <br /> ELECTRICAL PERMIT REQUIRED-ISSUED THROUGH THE STATE <br /> INSPECTION REQUIRED BEFORE WORK RESUMES <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> PETERSON, COLIN STATE SURCHARGE(VALUATION) 0.75 <br /> 265 CRESTVIEW AVE TOTAL 58.25 <br /> LONG LAKE, MN 55356 <br /> PAID WITH CC# 0120 <br /> OWNER <br /> PETERSON, COL[N <br /> 265 CRESTVIEW AVE <br /> LONG LAKE, MN 55356 <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 /> State Building Code. This permit is for only the work described 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 specitied 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 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 the State Building Code.This permit may be <br /> revok t an time for duc cause. , � .� <br /> � � � �--- �' �� �-�--� ��/ // / � <br /> Applicant Permitee Signature Date � ed By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />