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� <br /> r ` CITY OF QRONO PERMIT NO.: 2010-00664 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 50 HACKBERRY HILL <br /> PIN : 33-118-23-44-0025 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,430.00 <br /> NOTE: REPLACE(4)WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT pERMIT FEE SCHEDULE 147.50 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 154.50 <br /> Minnesota State License#: 20130983 <br /> OWNER <br /> AUTRY, MARY <br /> 50 HACKBERRY HILL <br /> LONG LAKE, MN 55356 <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permi[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 Duilding Code.This permit may be <br /> revoked at any time for due cause. <br /> `�-Q-�-C � i i ��►'�c-�-� i i <br /> Applicant Permitee Signature Date Issued By i nature a�e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />