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CITY OF ORONO PERMIT NO.: 2010-00157 <br /> + � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> tY'•{ib�t�� c-1-� 8i��t�3 <br /> VALUATION : $ 70,000.00 <br /> NOTE: REPLACEMENT OF DOORS,WINDEOWS AND SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 831.75 <br /> JAMES PATSCH CONST INC. STATE SURCHARGE(VALUATION) 35.00 <br /> 3427 HUMBOLT AVENUE S TOTAL 866.75 <br /> MINNEAPOLIS, MN 55408 <br /> (612)527-01 I 1 PAID WITH CC# 8239 <br /> Minnesota State License#: 4290 <br /> OWNER <br /> CUSICK, MR. & MRS. THOMAS <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be peribrmcd 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 relatcd 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 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 applica responsi for assuring all required inspections are <br /> re uested n c rmance ith t State Building Code.This permit may be <br /> re ked t y e for e cau <br /> � � � i i <br /> cant ee Signatu Date Issued By S'g ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO <br />