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` CITY OF ORONO PERMIT NO.: 2011-00298 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuE�: OS/04/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 744 DICKEY LAKE DR <br /> PIIY : 27-1 18-23-33-0007 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 14,000.00 <br /> NO"1'E: REMOVE AND REPLt�CG(14)STORM DAMAGGD WINDOWS <br /> APPLICANT PERMIT FEE SCI-IEDULE 250.75 <br /> COMPANION CONSTRUCTION STATE SURCHARGE(VALUATION) 7.00 <br /> 3305 HARBORLANE N <br /> PLYMOUTH, MN 55447- TOTAL 257.75 <br /> (952) 836-4806 <br /> Minnesota State License#: 20638527 <br /> OWNER <br /> PETTIS, GERALD& ALICE <br /> 744 DICKEY LAKE DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is issued shall be pertormed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is Cor onl��the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions ot�la��s and ordinances�overning this type o��work <br /> shall be compied with whether or not specilied hercin.This permit will <br /> cxpire and become null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended ibr a period of I 80 days at any time after�vork has commenced. <br /> The applicant is responsible for assuring all required inspcctions are <br /> requested in conformance with the Slate l3uilding Code.This permit may be <br /> revoked at ry.ti ne for due cause. <br /> �--' a,--4'�� s � �' �.�,�,� �'�� �-� _1�(�c�` .J'`� � � � <br /> Appli nt ermitce Signature / Date � <br /> � � Issu� By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />