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� <br /> � ; � CITY OF ORONO PERMIT NO.: 2oos-oo2�3 <br /> ' 2750 KELLEY PARKWAY <br /> • � ORONO, MN 55356- DATE �SSUED: 09/17/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS . 65 FERNDALE GREEN _ ,�`�" <br /> � Ytik <br /> PIN : 36-118-23-44-0026 _�,�� .,� <br /> LEGAL DESC : FAIRWAY H[LLS ADDN ����- O '� ;� \�� <br /> : LOT 001 BLOCK 001 �'� '-� L � a <br /> PERMIT TYPE : MINOR ALTERATIONS � L� �-� �� <br /> PROPERTY TYPE � RESIDENTIAL � ���,���� �L'�� �� � �� <br /> �CONSTRUCTION TYPE : RO�ING -� HALT - ( . <br /> VALUATION : $ 5,000.00 �i <br /> ��,�� <br /> ��� <br /> , � <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> DONE RITE RESTORATION <br /> 13713 196TH AVE. STATE SURCHARGE(VALUATION) 2.50 <br /> ELK RIVER, MN 55330 MAIL-IN FEE 1.50 <br /> (763)441-7580 TOTAL 122.00 <br /> Minnesota State License#: 20549873 <br /> OWNER <br /> LAPERRE, TIMOTHY&NANCY <br /> 65 FERNDALE GREEN <br /> WAYZATA,MN 5539] <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 [he <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her 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 consVuction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> ;�� �,-t g� �1 , � � ��n-�-� q, ��, ��" <br /> Applicant Permitee Signature Date Issued y ' nature '��� -- Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />