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� . <br /> CITY OF ORONO * 2 0 1 7 - 0 1 1 9 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2975 SOMERSET LA <br /> PIN : 04-117-23-24-0018 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 001 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,200.00 <br /> APPLICANT PERMIT FEE SCHEDULE 50.12 <br /> MON-RAY INC. STATE SURCHARGE(VALUATION) 0.60 <br /> 7900 EXCELSIOR BLVD#140 TOTAL 50.72 <br /> HOPKINS,MN 55343- Payment(s) <br /> (763)543-6263 CHECK 61842 50.72 <br /> Minnesota State License#:BUIL-0005111 <br /> OWNER <br /> LAHTI,TERESA <br /> 2975 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 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.This 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 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 /> � <br /> vlit<,�l �� � � l'�Sl I 7 <br /> Applicant Permitee Signature Date Iss d By Signature Date <br />