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• 4 <br /> CITY OF ORONO PERMIT NO.: 2oiaoos2� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS ; 4240 NORTH SHORE DR <br /> PIN : 07-117-23-43-0014 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 014 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 746.00 <br /> NOTE: REPLACE(1)WINDOW INTO EXISTING OPENII�IG <br /> APPLICANT pERMIT FEE SCHEDULE 34.75 <br /> PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00 <br /> 2211 11TH AVE.E. <br /> MN 55109- MAIL-IN FEE 2.00 - <br /> (651)770-5570 TOTAL 41.75 <br /> Minnesota State License#:BC 2035684 PAID WITH CC# 0074 <br /> OWNER <br /> SCHWARZKOPF,PETER&JENNIFER <br /> 4240 NORTH SHORE DR <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 are <br /> requested in conformance with the State Building Code.1'his permit may be <br /> revoked at any time for d cause. <br /> � ?l �.� I/O G�� ���/p <br /> App icant Permitee ignature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />