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� CITY OF ORONO PERMIT NO.: 2009-00280 <br /> ; 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1ssUEn: 06/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2475 DUNWOODY AVE <br /> PIN : 20-117-23-22-0014 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 006 BLOCK 008 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 4,955.00 <br /> NOTE: (1)WINDOW REPLACEMENT IN EXISTING OPENING. <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.48 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 122.48 <br /> Minnesota State License#: 20268257 <br /> OWNER <br /> VICKERMAN, DAVID&V[CKI <br /> 2475 DUNWOODY AVE <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> "Che 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 celated work which requires separate <br /> permits. All provisions of Iaws 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 /> revoked at any timc for due cause. <br /> l�%�y`'"___ � <br /> / / <br /> Applicant�Permitee Signature Date Issued�3y gnature �ate � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />