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CITY OF ORONO * 2 fd 1 2 — 0 0 3 4 8 * <br /> � .� 2750 KELLEY PARKWAY DATE ISSUED: OS/OU2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 55 GOLDEN V[EW DR <br /> PIN : 33-118-23-43-0011 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 29,791.00 <br /> NOTE: REYLACE l9 WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 466.75 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 14.90 <br /> 1920 COUNTY RD C. WEST <br /> ROSEV[LLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 483.65 <br /> Minnesota State License#: BC130983 PA[D WITH CC# 8788 <br /> OWNER <br /> ERICKSON, VAN&NANCY <br /> 55 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMEIYT <br /> Thc work for which this permit is issued shall be performed according to <br /> the approvcd plans and specitications,applicable City approvals,and thc <br /> State Building Code. This permit is for 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 this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> cxpire 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due qause. <br /> �_�� v� / / V )�.lti-6�-+� / / <br /> Applicant Pennitce Signature Date Issued y Si ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br />