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* ' CITY OF ORONO PERMIT NO.: 2011-00993 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/02/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3090 NORTH SHORE DR <br /> PIN : 09-117-23-32-0006 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,135.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 2.57 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 137.32 <br /> Minnesota State License#:20239369 PAID WITH CC# 3989 <br /> OWNER <br /> MCGLYNN,DAN <br /> 3090 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 cause. <br /> ` � O�[ / l �o�-t/ <br /> Applicant Permitee Signatu Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />