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1 � <br /> CITY OF ORONO PERMIT NO.: 2009-00844 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 1 U23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3245 CARMAN RD <br /> PIN : 20-117-23-14-0010 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LINDEFINED <br /> VALUATION : $ 200.00 <br /> NOTE: CHANGE OUT EXISTING BATHROOM WINDOW <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 25.00 <br /> LAKE COUNTRY BUILDERS, LTD <br /> 339 2ND STREET STATE SURCHARGE(VALUATION) 0.50 <br /> EXCELSIOR, MN 55331 TOTAL 25.50 <br /> (952)474-7121 <br /> Minnesota State License#: 20349679 <br /> OWNER <br /> NIELSEN, JON& KIRSTEN <br /> 3245 CARMAN RD <br /> EXCELSIOR, MN 55331- <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 /> rexeked-at any time fo du�caySe. <br /> C . �� i / <br /> �-, ��'. � Ll��l, �-___--- �l���� �' `� i i <br /> �=��plicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />