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' � CITY OF ORONO <br /> * 2 0 1 6 — 0 0 7 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/1 U2016 <br /> ORONO, MN 55356– <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2855 SOMERSET LA <br /> PIN : 04-117-23-24-0020 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 003 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: REPLACE(4)WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 17034 <br /> STATE SURCHARGE(VALUATION) 4.00 <br /> LINDUS CONSTRUCTION INC MAIL-IN FEE 2.00 <br /> 879 HWY 63 <br /> BALDWIN, WI 54002- TOTAL 176.34 <br /> (715)684-4647 Payment(s) <br /> Minnesota State License#: BUIL-BC007644 CREDIT CARD 5232 17634 <br /> OWNER <br /> KERNAN, EDWARD J <br /> 2855 SOMERSET LA <br /> LONG LAKE,MN 55356- <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. AII 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 l80 days a[any time afrer 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 /> \ , � • I <br /> r • \ � <br /> _ <br /> , ��.- � _� , ��r� � / � / //�� <br /> �i'"l � �t-�,�c' � �- 1 1 <br /> Applicant Permitee Signature � Date Issuedr y Signature Date <br />