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` ' CITY OF ORONO * Z 0 1 4 - 0 0 8 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2014 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1015 LINDEN LA <br /> PIN : 07-117-23-13-0093 <br /> LEGAL DESC : LINDEN BEACH <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,753.00 <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> STATE SURCHARGE(VALUATION) 438 <br /> SCHERER BROS LUMBER MAIL-IN FEE 2.00 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 TOTAL 183.38 <br /> (952)277-1600 Payment(s) <br /> Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 18338 <br /> OWNER <br /> CARLSON,THORA ERICKSMOEN& SAPA MARY <br /> 1015 LINDEN LA <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the 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. 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 /> � �/ ��/�e�/ / <br /> Applicant Permitee Signa ure Date Issue y Signature Date <br />