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�F <br /> " CITY OF ORONO PERMIT NO.: 2010-01196 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SIXTH AVE N <br /> PIN : 27-118-23-31-0024 <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-LJNDEFINED <br /> VALUATION : $ 1,551.00 <br /> NOTE: REPLACING(3)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 60.75 <br /> PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00 <br /> 2211 11TH AVE.E. MAIL-IN FEE 2.00 <br /> MN 55109- <br /> (651)770-5570 TOTAL 67.75 <br /> Minnesota State License#: BC 2035684 PAID WITH CC# 0074 % <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 issued shall be performed acwrding 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca�. <br /> /a� .�' �� C-c. /2� o� v <br /> Appli ant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />