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CITY OF ORONO 1111 111..111. II II ;1111 1111 II <br /> * 2012 - 00990 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/05/2012 <br /> ti ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 341 WESTLAKE ST <br /> PIN : 05-117-23-23-0024 <br /> LEGAL DESC : HILLSIDE PARK <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,500.00 <br /> NOTE: WINDOW REPLACEMENT INTO EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 57.50 <br /> NORTHERN EXTREMES REMODELING LLC STATE SURCHARGE(VALUATION) 0.75 <br /> 13326 HIGHWAY 65 <br /> HAM LAKE, MN 55304- TOTAL 58.25 <br /> (763)434-0025 <br /> Minnesota State License#: BC342345 <br /> OWNER <br /> ERICKSON,ROBERT <br /> 15500 WAYZATA BLVD. <br /> 55391,MN 55391 <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 ause. 14t <br /> Applicant Permitee Signature Date Issue./ y n're Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT'ER THAN DESCRIBED ABOVE. <br />