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CITY OF ORONO PERMIT NO.: 2010-00981 <br /> � 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE 1SSUED: 10/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1416 BALDUR PARK RD <br /> PIN : 08-117-23-34-0015 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O11 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIU�\PE : DOORS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 3,276.00 <br /> NOTE: RFPLACE 1 PATIO DOOR IN EXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> SEARS HOME IMPROVEMENT STATE SURCHARGE(VALUATION) 5.00 <br /> 2700 WINTER STREET NE <br /> SUITE 1 MISC FEE 0.00 <br /> MINNEAPOLIS, MN 55413- MAIL-IN FEE 2.00 <br /> (651)341-3732 TOTAL ll0.25 <br /> Minnesota State License#: 20090017 <br /> OWNER <br /> MARCIA PETERSON,JEFFREY ULKU/ <br /> 1416 BALDUR PARK RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for which this permit is issued shall be performed according to <br /> thc 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. Ali 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[he date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter 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 /> Q / 1( l ld ���l(„�_ l l <br /> Applicant P rmitee Signature Date Issued By gnature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />