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CITY OF ORONO * z 0 1 3 — 0 1 z 1 s * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2690 PHEASANT RD <br /> PIN : 21-117-23-23-0019 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 22,430.00 <br /> NOTF: RGSID3',"I'l IF.FRONT AND SIDE OF HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 383.50 <br /> DOUG DZURIK CONSTRUCTION STATE SURCHARGE(VALUATION) 11.22 <br /> 1700 NIAGARA LN N <br /> PLYMOUTH, MN 55447 TOTAL 394.72 <br /> (612)221-2431 <br /> Minnesota State License#:20062372 <br /> OWNER <br /> GETLIN, LARRY&DEBBIE <br /> 2690 PHEASANT RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�hc work for which this permit is issued shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State[3uilding 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 da[e 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 e for due cause. <br /> `__� L� �' _ l l V l-I�' � l l/ <br /> �kiEant ermitee Signat Date r <br /> Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />