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' � CITY OF ORONO PERMIT NO.: 200�-0062� <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1795 SHADYWOOD RD <br /> PIN : 17-117-23-21-0008 <br /> LEGAL DESC : REG.LAND SURVEY NO.0702 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 13,000.00 <br /> NOTE: REPLACE WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 236.00 <br /> BETZ BUILDERS INC. STATE SURCHARGE(VALUATION) 6.50 <br /> 300 CRESTVIEW AVE. TOTAL 242.50 <br /> LONG LAKE,MN 55356 <br /> (612)221-2963 <br /> OWNER <br /> SUNNARBORG&ALICIA KRASEN,MICHEAL <br /> 1795 SHADYWOOD RD <br /> P.O. BOX 81(NAVARRE <br /> WAYZATA,MN 5392) <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 dces <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.T'his permit will <br /> expire and become null and void if construction suthorized 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 applic 's responsible for assuring all required inspections aze <br /> requeste ' nformance with the State Building Code.This permit may be <br /> revoke y time for due cause <br /> � � 9'a�-� 4'� �O <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARA PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. <br />