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CITY OF ORONO PERMIT NO.: 2009-00049 <br /> ' � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 02/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0037 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,000.00 <br /> NOTE: REPLACE(12)WINDOWS AND(1)ENTRY DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> LAMPERT EXTERIORS STATE SURCHARGE(VALUATION) 4.50 <br /> 1756 TERRACE DR <br /> ROSEV[LLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)695-3680 TOTAL 183.50 <br /> Minnesota State License#: 20555656 <br /> OWNER <br /> CASWELL, MR.&MRS. <br /> 120 CHEVY CHASE DR <br /> WAYZATA,MN 55391 <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 permi[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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. <br />