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. � CITY OF ORONO * z 0 1 z - 0 0 5 1 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2040 SHADYWOOD RD <br /> PIN : 17-117-23-31-0013 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEF[NED <br /> VALUATION : $ 1,500.00 <br /> NOTE: REYLACE(1)WINDOW INTO EXISTING OPENING. <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> FLAG BUILDERS, INC. STATE SURCHARGE(VALUATION) 0.75 <br /> 715 FLORIDA AVENUE S. <br /> GOLDEN VALLEY, MN 55426- TOTAL 58.25 <br /> (763)540-9404 PAID WITH CC# 2073 <br /> Minnesota State License#: BC631398 <br /> OWNER <br /> ZOSCHKE, DAVID&JUDY <br /> 2040 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which this permi[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 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 /> rcquested in conformance with the State Building Code.This permit may be <br /> revoked y time for d cause. <br /> � <br /> ��� ; :,,�_ � l �L / ��i�i <br /> / / <br /> App icant Permitee ignat e Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />