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CITY OF ORONO * z 0 1 2 - 0 0 2 5 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 185 CYGNET PL <br /> PIIY : 04-117-23-23-0011 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATIOIY : $ 45,434.00 <br /> NOTG: RGPLACE 26 WINDOWS&2 DOORS WITHIN THE EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 638.75 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 22.72 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 663.47 <br /> Minnesota State License#: BC 130983 <br /> OWNER <br /> EZELL, ROXANNE& ROGER <br /> 185 CYGNET PL <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for oniy the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pemiits. 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 atter work has commenced. <br /> "f'Ihe 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 /> t <br /> `�'K1��. C�1� / / l l <br /> Applicant Yermitee Signature Date Issued By i�nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />