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CITY OF ORONO * 2 0 1 2 - 0 0 4 1 0 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2012 <br /> � � ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2585 LYDIARD AVE <br /> PIN : 20-117-23-11-0003 <br /> LEGAL DESC : APPLE HILL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,000.00 <br /> NOTE: SIDING AND 9 WINDOWS-2 WINDOWS HAVE STRUCTURAL CHANGE <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> BORISOV,TROFIM&NADIA STATE SURCHARGE(VALUATION) 2.50 <br /> 4932 NORTHERN ROAD TOTAL 120.50 <br /> MOUND,MN 55364 <br /> OWNER <br /> BORISOV,TROFIM&NADIA <br /> 4932 NORTHERN ROAD <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ti for due c e. <br /> � �,�.� , �a , , <br /> pplic t Permitee Signature Date Issue gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />