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E • • CITY OF ORONO PERMIT NO.: 2010-00871 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/2U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4750 CREEKWOOD TR <br /> PIN : 30-118-23-33-0003 <br /> LEGAL DESC : PAINTERS WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : W[NDOWS <br /> ACTIVITY : O/S BU[LDING -UNDEF[NED <br /> VALUATION : $ 24,000.00 <br /> NOTE: RF,PLACG WINDOWS AND DOORS ON BACK OF HOUSE [NTO EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 398.25 <br /> THERRES CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 12.00 <br /> 2521 WILSH[RE BLVD <br /> MOUND, MN 55364- TOTAL 410.25 <br /> (612)250-6180 95249 <br /> Minnesota State License#: 20514566 <br /> OWNER <br /> JELLISON, MR.& MRS. <br /> 4750 CREEKWOOD TR <br /> MAPLE PLAIN, MN 55359 <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 E3uilding Code. This pernlit is tor 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 Ihis type of work <br /> shall be compied with whether or not specified hercin.This permit will <br /> expire and becomc 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 atter 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 ny tim�'for due cause` <br /> <' , �/ �� L t� � /C� l:,Z l �c: l l <br /> Applican ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />