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r <br /> 1 <br /> i <br />� � CITY OF ORONO PERMIT NO.: 2011-00391 <br />� �; 2750 KELLEY PARKWAY <br />� ORONO,MN 55356- DATE ISSUED: 05/27/2011 <br /> x 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 259 HOLLANDER RD <br /> PIN : 25-118-23-43-0017 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 94,861.00 <br /> NOTE: 16 WINDOWS& 1 PATIO DOOR REPLACEMENT,RE-ROOF,SIDING <br /> APPLICANT pERMIT FEE SCHEDULE 1,019.25 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 47.43 <br /> 2690 CUMBERLAND PKWY,STE 300 TOTAL 1,066.68 <br /> 30339- <br /> (763)542-8826 <br /> Minnesota State License#:20268257 <br /> OWNER <br /> PIERCE,STEVEN&KATHERINE <br /> 259 HOLLANDER RD <br /> WAYZATA,MN 55391- <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 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 aze <br /> ',requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca�se. � <br /> ����-e � i l i l <br /> Applicant Permitee Signature Date Issued y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. <br />