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CITY OF ORONO PERMIT NO.: 2009-00871 <br /> t 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE ISSUED: 12/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1501 BAY RIDGE RD <br /> PIN : 10-117-23-34-0007 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <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 : $ 8,436.00 <br /> NOTE: REPLACE(5)WINDOWS AND(1)SASH IN EXISTING OPENINGS. <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 177.00 <br /> PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 4.22 <br /> 15300 25TH AVE N. - SUITE# 100 <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (952)345-6047 TOTAL 183.22 <br /> Minnesota State License#: 20I65884 <br /> OWNER <br /> GERMANSON, DON&TWILA <br /> 1501 BAY RI DGE RD <br /> WAYZATA, 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 specitications,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 separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pennit 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 E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> ��`l�'�?.c..�e�� �ac 7 �(� 5 �l� � 2a 07/ O <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />