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CITY OF ORONO * Z 0 1 3 - 0 0 1 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2013 <br /> " ` ORONO,MN 55356- <br /> t r (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2058 SHORELINE DR <br /> PIN : 15-117-23-21-0003 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 2,139.00 <br /> NOTE: 2 WINDOW REPLACEMENTS IN EXISTING OPENINGS <br /> APPLICANT pERMIT FEE SCHEDULE 88.50 <br /> HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 1.07 <br /> 2690 CUMBERLAND PKWY SUITE 30 <br /> ATLANTA,GA 30339- MAIL-IN FEE 2.00 <br /> Minnesota State License#: 20268257 TOTAL 91.57 <br /> OWNER <br /> TERRY,JOSEPH&KAIMAY <br /> 5109 RIDGE ROAD <br /> MINNEAPOLIS,MN 55402- <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 1 ►wU�.� �j / / V � Y'!�/Y�- l l <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />