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CITY OF ORON6 PERMIT NO.: 2010-00785 <br /> 2750 KELLEY PAY <br /> ORONO,MN 55356 DATE ISSUED: 09/08/2010 <br /> 952 249-4600 FAX: 952 49-4616 <br /> ADDRESS 315 OLD CRYSTAL BAY RD N <br /> PIN 33-118-23-31-0004 <br /> LEGAL DESC UNPLATTED 33 118 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 : $ 6,000.00 <br /> NOTE: REPLACE WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> NORTHLAND HOME EXTERIORS STATE SURCHARGE(VALUATION) 5.00 <br /> 308 SW 15TH ST <br /> #100 MAIL-IN FEE 2.00 <br /> FOREST LAKE,MN 55025- TOTAL 139.75 <br /> (651)464-0234 <br /> Minnesota State License#:20440290 <br /> OWNER <br /> ENGLEMAN,MR.&MRS.ALAN <br /> 315 OLD CRYSTAL BAY RD N <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 /> 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 cause. <br /> c <br /> 60l l l / l <br /> Applicant Permitee Signature Date Issued By ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />