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. CITY OF ORONO PERM[T NO.: 2011-00089 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUE�: 02/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2635 COUNTRYSIDE DR W <br /> PIN : O�l-1 17-23-I 3-0007 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 007 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY �'� O/S BUILDING - UNDEFINED <br /> VALUATION : $ 11,250.00 <br /> NO�I�G: WINDOWS AND SIDING T FINISH <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> JLF HOMES, LLC <br /> 1452 INDUSTR[AL BLVD. - SUITE STATE SURCHARGE(VALUAT[ON) 5.63 <br /> Mr�PLI: PI.AIN, ��N »;�9 TOTAL 226.88 <br /> (763)479-0795 <br /> Minnesota State License#: 20521437 <br /> OWNER <br /> GROSS, DAVID c� TERESA <br /> 2635 COUNTRYS[DE DR W <br /> LONG LAKE, MN 55356 <br /> AGREEMGNT AND SWORN STATEMGNT <br /> Che�vork for���hich this pcnnit is issued shall be performed according to <br /> the approved plans and specitications.anplicable City approvals,and the <br /> State[3uildin�Code. 'I�his permit is Ibr only the���ork described and dues <br /> not erant pennission ibr additional or related���ork which requires separatc <br /> permits. All provisions of la���s.�nd ordinanccs governin�this type of work <br /> shall be compied with whether or not speciticd herein.This pennit���ill <br /> expire and hccomc null and void if conslruction authorized is not <br /> commenced�vithin 180 davs uf�lhe date of issuance.or if construction is <br /> suspended ibr a period of 180 days at any tin after work has commenced. <br /> The app,[�• sponsible for assuring al 'equired inspections are <br /> ro sted in conf mance��ith the State �ilding Code."I'his permit may bc <br /> re oked at any 5�nc for due cause. <br /> � ��� �/ � / o?�!r � % / <br /> Applic nt Pcrmitce Signat re Datc Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AE30VE. <br />