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� CITY OF ORONO PERMIT NO.: 2009-00892 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �A7'E ISSUEn: 12/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3409 EASTLAKE ST <br /> PIN : OS-117-23-13-0036 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCT[ON TYPE : SIDING <br /> ACTIVITY : O/S BUILD[NG - UNDEFINED <br /> VALUATION : $ 4,563.00 � <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 118.00 <br /> HOME EXPRESS REMODELINC STATE SURCHARGE(VALUATION) 2.28 <br /> 1239 CARTWAY ROAD <br /> CHAMPLIN, MN 55316- TOTAL 120.28 <br /> (763)576-5358 PAID WITH CC# 8452 <br /> Minnesota State License#: 20635544 <br /> OWNER <br /> OVSYANNIKOVA, MIKHAIL& ELENA <br /> 3409 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he work for which this permit is issued shall be perYormed according to <br /> the approved plans and specifica[ions,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the worh described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing[his type of�+ork <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become nuli and void i}�construction au[horized is no[ <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 time for due cause. f -� <br /> '' / � ' „ �l / <br /> , // / ----- � �, . <br /> � l '�^ I\' �� �W��L�` /� /� �(�''L .' (� ! <br /> gplicant Permitee ignature Date ��- � ����� ` ��� �� ��� ��'��� � � <br /> Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />