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CITY OF ORONO PERMIT NO.: 2010-01166 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUED: 12/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-1 18-23-31-0024 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 1,200.00 <br /> NOTG: REPAIR/REPLACE ONE DAMAGED SKYLIGHT <br /> � <br /> APPLICANT PERMIT FEE SCHEDULE 47.75 <br /> GARRY D. OLSON COMPANY, INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 5701 KENTUCKY AVE N <br /> CRYSTAL, MN 55428- TOTAL 52.75 <br /> (763)535-2484 PAID WITH CC# 4279 <br /> Minnesota State License#: 20633479 <br /> OWNER <br /> Orono Woodlands <br /> 2100 SIXTH AVE N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> � The work for which this permit is issucd shall be performed according to <br /> � the approved plans and specitications,applicable City approvals,and the <br /> F State Building Code. This permit is for only the wark described and does <br /> � not grant pennission for additional or related work which requires separate <br /> ; pennits. All provisions of laws and ordinances governing this type of wark <br /> �- shall be compied�+�ith whether or not specified herein."rhis pennit will <br /> � 'expire and become null and void iFconstruction authorized is not <br /> commenccd wi[hin (80 days of d�e date of issuance,or if cons[ruction is <br /> suspended for a period of 180 days at any timc atter work has commenced. <br /> � The applicant is responsible for assuring all required inspections are <br /> � requcsted in conformance with the State Building Code.This pennit may be <br /> revoked t any time for due causc. <br /> ' /� D1 , iv � l� �0 <br /> Applicant Permitee Sigi ature Date [ss � [3y Signature �ate <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />