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CITY OF ORONO PERMIT NO.: 20��-0�202 <br /> •, 2750 KELLEY PARKWAY <br /> - ORONO, MN 55356- DATE ISSUED: 10/07/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4215 NORTH SHORE DR <br /> PIN : 07-117-23-43-0006 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 7,957.00 <br /> NOTE: REPLACE(3)DOORS WTHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> RENEWAL BY ANUERSON STATE SURCHARGE(VALUATION) 3.98 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN SS113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 168.23 <br /> Minnesota State License#: 20130983 <br /> OWNER <br /> WALDOCH, DOUGLAS <br /> 4215 NORTH SHORE DR <br /> MOUND, MN 55364- <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 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 permi[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 inspec[ions are <br /> requested in confom�ance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �y�,�.`,e �v�. � i i i <br /> Applicant Permitee Signature Date <br /> Issued By Signatur Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />