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r ....._-, <br /> CITY OF ORONO * 2 0 1 3 - 0 0 0 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU07/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2990 SUSSEX RD <br /> PIN : 04-117-23-31-0020 <br /> LEGAL DESC : FOX BEND <br /> : LOT 3 BLOCK 4 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 107,077.00 <br /> NOTE: REPLACE(49)WINDOWS AND(6)DOORS WITHIN EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 1,104.75 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 53.54 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 MISC FEE 0.00 <br /> (612)502-4777 MAIL-IN FEE 2.00 <br /> Minnesota State License#: BC130983 TOTAL 1,160.29 <br /> PAID WITH CC# 8788 <br /> OWNER <br /> KELLY,JUSTIN& SUSAN <br /> 2990 SUSSEX RD <br /> LONG LAKE,MN 55356- <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 ca e. <br /> ��'l�c.�'C,(,�ce'� � l 7 /Za� Z / / / <br /> Applicant Permitee Signature Date <br /> Issu By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />