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!.* CITY OF ORONO * 2 0 1 3 — fd 0 0 7 3 * <br /> ! � 2750 KELLEY PARKWAY DATE ISSUED: OU3U2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3535 IVY PL <br /> PIN : 20-117-23-42-0035 <br /> LEGAL DESC : CASCO COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 16,000.00 <br /> NOTE: REPLACE(3)PATIO DOORS AND(1)WINDOW-NO HEADER CHANGE <br /> APPLICANT PERMIT FEE SCHEDULE 280.25 <br /> GORDON JAMES CONSTRUCTION STATE SURCHARGE(VALUATION) 8.00 <br /> 5159 MAIN STREET E <br /> P.O.BOX 306 TOTAL 288.25 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#: 20531961 <br /> OWNER <br /> BAZIL,PETER&SUSAN <br /> 3535 IVY PL <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 hereia 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revo d at any e or cause. <br /> / � 31 � I �� � � r - <br /> ppl' ant Permitee S' ature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />