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� CITY OF ORONO * 2 0 1 2 - 0 1 0 4 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1074 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0008 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-IJNDEFINED <br /> VALUATION : $ 4,000.00 <br /> NOTE: REPAIR FROM WATER DAMAGE <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> CODE PLUS BUILDING&REMODELING STATE SURCHARGE(VALUATION) 2.00 <br /> 8014 OLSON MEMORIAL HWY TOTAL 105.25 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)298-1514 PAID WITH CC# 8541 <br /> Minnesota State License#:646824 <br /> OWNER <br /> LINDQUIST,JOHN <br /> 1074 LOMA LINDA AVE <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speci£cations,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 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 /> 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 /> 7'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with State Building Code.This permit may be <br /> ked at any time for due c e. <br /> / �/ � /O �2 2-- �/ Z <br /> Applicant Permitee Signatur Date Iss B Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />