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� � CITY OF ORONO PERMIT NO.: 2009-00004 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: OU09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 509 FERNDALE RD N <br /> PIN : 36-118-23-13-0011 <br /> LEGAL DESC : FAIRWAY V[EW <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING-UNDEF[NED <br /> VALUATION : $ 10,779.61 <br /> NO"1�1;: REPLACE(4)WINDOWS <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 206.50 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.39 <br /> ]0751 EXCELSIOR BLVD <br /> HOPK[NS, MN 55343 MISC FEE 1.50 <br /> (952)277-1600 TOTAL 21339 <br /> Minnesota State License#: 20239369 <br /> OWNER <br /> SUTTON,GEORGE& KATHY <br /> 509 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMEfYT AND SWORN STATEMENT <br /> l�he work for which this pennit is issued shall bc performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. 'I'his 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 oY laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 ti for due cause <br /> � �(� 0 �D ��;v�taVl ol � � � �i <br /> Applicant Permitee Signat Date ssue y Signalure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />