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� <br /> f 4 <br /> CITY OF ORONO *� - 0 0 8 g 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 70 FERNDALE GREEN <br /> P[N : 36-118-23-44-0007 <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING- UNDF,F[NED <br /> VALUATION : $ 3,425.00 <br /> NOTE: Rt:PLACE(3)F;N"I�RY DOORS-NO S'fRUC"1'URAL CI I.�NGI�:S. <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> DENNIS SARELL CONSTRUCTION INC STATE SURCHARGE(VALUATION) 1.71 <br /> 1 1368 RED FOX DRIVE <br /> MAPLE GROVE, MN 55369- TOTAL 104.96 <br /> (612)723-2354 <br /> Minnesota State License#: IR665951 <br /> OWNER <br /> BELLINI, CHRISTOPH�R& KELLY <br /> 70 FERNDALE GREEN <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�hc���urk for which this pcnnit is issucd shall bc�erformed according to <br /> the appruved 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 ior additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and becomc null and void if constniction autl�orized is not <br /> commcnced w�ithin 180 da}�s of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afier�vork has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reyuested ir o onnance with the State F3uilding Code.This permit may be <br /> revoked an � ime for due si�� <br /> �� � � ' �-,� l <br /> Applicant Permitee Signature Date Lss i d By Signature Date <br /> SEPARf1TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />