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CITY OF ORONO * 2 0 1 2 - B 0 7 B 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2012 <br /> - ORONO,MN 55356- <br /> ' (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4240 NORTH SHORE DR <br /> PIN : 07-117-23-43-0014 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 014 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 643.00 <br /> NOTE: REPLACE 1 WINDOW IN EXISTING OPENING <br /> APPLICANT pERMIT FEE SCHEDULE 31.50 <br /> WINDOW WORLD STATE SURCHARGE(VALUATIOl� 032 <br /> 2211 11TH AVE.E. �L-IN FEE 2.00 <br /> #130 <br /> ST PAUL,MN 55109- TOTAL 33.82 <br /> (651)770-5570 PAID WITH CC# 0074 <br /> Minnesota State License#:BC356847 <br /> OWNER <br /> SCHWARZKOPF,PETER&JENNIFER <br /> 4240 NORTH SHORE DR <br /> MOLJND,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. 1'his permit is for only the work described and dces <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 consiruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO days az any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �1�..«, l�y(. / / / / <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. <br />