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S � <br /> `" CITY OF ORONO * 2 0 1 4 - 0 0 7 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 55 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0011 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : M1NOR ALTERATIONS <br /> F'ROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : S 9,693.00 <br /> NOTE: RGPLACI:TWO NA"1�[O DOORS AND 2 WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> STATE SURCHARGE(VALUATION) 4.85 <br /> HARMONY HOMES 1NC. MA[L-IN FEE 2.00 <br /> 1 l20 WINTER ST. NE TOTAL 198.60 <br /> MINNEAPOLIS, MN 55413- <br /> (763)413-1 100 Payment(s) <br /> Minnesota State License#: BUIL-BC501883 CREDIT CARD 9556 198.60 <br /> OWNER <br /> ERICKSON, VAN & NANCY <br /> 55 GOLDEN V[EW DR <br /> LONG LAKE, MN 5��56 <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�he work for which this permit is issued shall be peribrmed according to <br /> the approved plans and specitications,applicablc City approvals,and thc <br /> State Building Code. This pcmiit is for only the work described and does <br /> not grant pem�ission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances goveming this type of work <br /> shall bc compied with whether or not specified hercin.This pennit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 days of Ihe date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code."I�his permit may be <br /> revoked at anv time for due cause. <br /> l��'J�'�i(� " ` ' `-�"!/� l l <br /> �' <br /> Applicant Permitee Signature Date Issued B ignature Uate <br />