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CITY OF ORONO PERMIT NO.: 2009-00088 <br /> 2750 KELLEY PARKWAY <br /> * • ORONO, MN 55356- DATE ISSUED: 03/06/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2790 WHITE OAK CIR <br /> PIN : 04-117-23-42-0016 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 27,472.50 <br /> NOTE: REPLACE SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 445.25 <br /> METRO SIDING STATE SURCHARGE(VALUATION) 13.74 <br /> 2750 NIAGRA LANE <br /> PLYMOUTH,MN 55447- MAIL-IN FEE 2.00 <br /> (763)557-1808 TOTAL 460.99 <br /> Minnesota State License#:4861 <br /> OWNER <br /> DOHERTY,MR.&MRS. <br /> 2790 WHITE OAK CIR <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 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 /> \71‘4,i4 t,►�, / / <br /> Applicant Permitee Signature Date <br /> Issued By gnature `0 . Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE'S4ABOVE. <br />