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CITY OF ORONO PERMIT NO.: 2009-00594 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 09/16/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1913 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-0009 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 017 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 14,000.00 <br /> NOTE: WINDOWS&SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 250.75 <br /> STOVERN, BRANDON STATE SURCHARGE(VALUATION) 7.00 <br /> 1913 FAGERNESS PT RD TOTAL 257.75 <br /> WAYZATA, MN 55391 <br /> PAID WITH CC# 2467 <br /> OWNER <br /> STOVERN, BRANDON <br /> 1913 FAGERNESS PT RD <br /> WAYZATA,MN 55391 <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 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 fo,i.dtte�au�. �, � <br /> --� , ���� T' /C <br /> . r' U <br /> - 5 >� - -`" -� l l 6 / U G ,�--�-�k, U�jl � �+ '' <br /> Applicant Permite ignature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />