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CITY OF ORONO PERMIT 1v0.: 2010-00910 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1280 BRACKETTS POINT RD <br /> PIN : 11-117-23-32-0019 <br /> LEGAL DESC : RGT ORONO POINT <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BU[LDING - UNDEFINED <br /> VALUATION : $ 3,000.00 <br /> NOTF,: <br /> REPLnCE(3)WINDOWS INTO EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> COUNTRYSIDE CONSTRUCTION &REMODELI STATE SURCHARGE(VALUATION) 5.00 <br /> 21631 SHELBY LANE <br /> JORDAN, MN 55352- TOTAL 93.50 <br /> (612)716-6276 <br /> Minnesota State License#: 20444119 <br /> OWNER <br /> JOHNSON, ROBBIN& KRISTINE <br /> 1280 BRACKETTS PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 /> cxpire 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 afrer work has commenced. <br /> "Che 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 y time for due cause. <br /> d Z2�?�i�� �,� 6��' l/G� %l � 0/ /L/ <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />