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CITY OF ORONO PERMIT NO.: 2009-00520 <br /> t � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: 08/27/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 160 CYGNET PL <br /> PIN : 04-117-23-22-0020 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 11,823.00 <br /> NOTE: REPLACE 4 WINDOWS&2 PATIO DOORS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.91 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 229.16 <br /> Minnesota State License#: 20130983 <br /> OWNER <br /> DEBERNARD[, OLSON& PAUL <br /> 160 CYGNET PL <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 /> no[gran[permission for additional or related work which requires separate <br /> permits. All provisions ot�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 I 80 days at any timc afrer 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 at any time for due cause. <br /> � <br /> / / / / <br /> Applicant Permitee Signature Date Issued By 'gnature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />