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CITY OF ORONO PERMIT NO.: 2oiaoo�9i <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 09/13/2010 <br /> � w 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1485 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0001 <br /> LEGAL DESC : UNPLATTED 35 118 23 <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 : $ 37,063.00 <br /> NOTE: REPLACE(21)WINDOWS AND(1)PATIO DOOR IN EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 552.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 18.53 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 573.28 <br /> Minnesota State License#:20239369 <br /> OWNER <br /> GREENLEY,KURTIS <br /> 1485 LONG LAKE BLVD <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 /> pertnits. 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 cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />