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♦ <br /> � <br /> CITY OF ORONO * z 0 1 3 - 0 0 1 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3420 HIGH LA <br /> PIN : OS-117-23-12-0026 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8>074.00 <br /> NOTE: REPL�ICG(7)W[NDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.04 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 183.04 <br /> Minnesota State License#: BC130983 PAID WITH CC# 8788 <br /> OWNER <br /> WOLVERTON, WESLEY&ELIZABETH <br /> 3420 HIGH LA <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 governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 bc <br /> revoked at any[ime for due cause <br /> L����� �, � , , 3 � , �,,� <br /> Applicant Permitee Signature Date ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />