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CITY OF ORONO PERMIT NO.: 2011-01323 <br /> 2750 KELLEY PARKWAY <br /> d ORONO,MN 55356- DATE ISSUED: 10/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4736 NORTH SHORE DR <br /> PIN : 07-117-23-32-0009 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> LOT 000 BLOCK 003 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 2,988.00 <br /> NOTE: REPLACE(8)WINDOWS IN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 1.49 <br /> 2690 CUMBERLAND PKWY,STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 91.99 <br /> Minnesota State License#:20268257 <br /> OWNER <br /> ANDERSON,TRAVIS&ERIN <br /> 4736 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 /> Uptra�14l4ti <br /> Applicant Permitee Signature Date Issued By Sighature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVt. <br />