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CITY OF ORONO PERMIT NO.: 2010-0056� <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 07/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4030 DAHL RD <br /> PIN : 07-117-23-11-0022 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 018 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 5,630.00 <br /> NOTE: REPLACE(3)PATIO DOORS WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MISC FEE 0.00 <br /> (612)502-4777 MAIL-IN FEE 2.00 <br /> Minnesota State License#: 20130983 TOTAL 139.75 <br /> OWNER <br /> GILBERT,JAMES&MARY <br /> 4030 DAHL RD <br /> MOUND, MN 55364 <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 whcther 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 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 /> revoked at any time�or due cause. <br /> `�-� L+^ / / / / <br /> Applicant Permitee Signature Date Issued By i nature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OV . <br />