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CITY OF ORONO * 2 0 1 3 - 0 1 1 0 0 <br /> •,, 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3085 WATERTOWN RD <br /> PIN 04-117-23-22-0032 <br /> LEGAL DESC WALNUT CREEK <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 9,000.00 <br /> NOTE: REPLACE 5 WINDOWS INEXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.50 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 183.50 <br /> Minnesota State License#: BC 130983 PAID WITH CC# 8788 <br /> OWNER <br /> GERHART,RICHARD&JANICE <br /> 3085 WATERTOWN RD <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. 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 cafe. <br /> 'ntA4� 14't l l <br /> Applicant Permitee Signature Date Issued By Vature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />