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CITY OF ORONO * 2 B 1 3 - 0 0 6 8 6 * <br /> r. 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 66 HACKBERRY HILL <br /> PIN : 33-118-23-44-0024 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 725.00 <br /> N07�E: RLPLACE (1)GARAGE WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 34.75 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 0.36 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 37.1 1 <br /> Minnesota State License#: 20268257 <br /> OWNER <br /> HENDERSON, JEANETTE <br /> 66 HACKBERRY HILL <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which this permit is issued shall be perfbrmed according to <br /> thc approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is 1or 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 governing this type of work <br /> shall be compied witl�whether or not specified herein.'This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days oY the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with tqe State Building Code."1�his permit may be <br /> rcvoked at any time for du�cause. <br /> �;�iv�.d�-t.�. (it�' / � l l <br /> Applicant Pennitec Signature Date Issued By Si ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />