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CITY OF ORONO PERMIT NO.: 2009-00682 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4510 NORTH SHORE DR <br /> PIN : 07-117-23-31-0029 <br /> LEGAL DESC : WILDHURST TRAIL <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,449.00 <br /> NOTE: REPLACE 3 CASEMENT WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> HAMEL BUILDING CENTER STATE SURCHARGE(VALUATION) 3.72 <br /> 18710 HIGHWAY 55 <br /> PLYMOUTH,MN 55446- TOTAL 165.97 <br /> (763)478-6601 <br /> Minnesota State License#:20631040 <br /> OWNER <br /> SAWICKI,PETE&KATHY <br /> 4510 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 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 /> Applicant Permit ignature Date sed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />