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CITY OF ORONO ���� <br /> j 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 3 7 9 * <br /> DATE ISSUED: 04/28/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4030 DAHL RD <br /> PIN : 07-117-23-11-0022 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 018 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTNITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 2,500.00 <br /> NOTF,: SIDING PER'.VII"I' <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> GILBERT,JAMES& MARY STATE SURCHARGE(VALUATION) 1.25 <br /> 4030 DAHL RD TOTAL 89.75 <br /> MOUND, MN 55364 Payment(s) <br /> CHECK 7567 89.75 <br /> OWNER <br /> GILBER"I',JAMES & MAKY <br /> 4030 DAHL RD <br /> MOUND, MN 55364 <br /> AGREF,MF.NT AND SWORN STATEMENT <br /> I�he work for which this permit is issucd shall be performcd accordin�to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. 'I�his 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 o1 laws and orJinances 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 wi[hin 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> n <br /> ; �,�. ' � �'���,��.�-(.� ,��;/ <br /> Applicant Permitec Sig�ure Date Iss d I�y Signature Date <br />