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.� .. CITY OF ORONO PERMIT NO.: 2010-01192 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/17/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4700 WEST BRANCH RD <br /> PIN : 06-117-23-33-0004 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,500.00 <br /> NOTE: REPLACE BAY WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> GREAT LAKES WINDOW&SIDING STATE SURCHARGE(VALUATION) 5.00 <br /> 14650 GLENDA DRIVE <br /> APPLE VALLEY, MN 55124- MAIL IN FEE 2.00 <br /> (952)891-3400 TOTAL 95.50 <br /> Minnesota State License#: 20060427 <br /> OWNER <br /> PETERSON, RONALD <br /> 4700 WEST BRANCH RD <br /> MOUND, MN 55364 <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 governing 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 cause. <br /> 6'14/(//.10 //O / abc.44,t_. /al/ 7 <br /> /7//ApplicantPermgnature Date Issue/Cy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />