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,. CITY OF ORONO PERMIT NO.: 2010-01093 <br /> ` 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 1 U12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,655.00 <br /> NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING. <br /> APPLICANT pERMIT FEE SCHEDULE 64.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00 <br /> 1920 COUNTY RD C. WEST TOTAL 69.00 <br /> ROSEVILLE,MN 55113 <br /> (612)502-4777 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> ROSATI,JAMES&DEBRA � <br /> 3188 NORTH SHORE DR <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 governing 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 time for due causc. <br /> c <br /> `%�� `�' / / / / <br /> Applicant Permitee Signature Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. <br />