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- � � � CITY OF ORONO * Z 0 1 3 - 0 1 1 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: i U08/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 115 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0006 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,287.00 <br /> NOTE: REPLACE 5 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.64 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 198.39 <br /> Minnesota State License#: BC239369 PAID WITH CC# 3989 <br /> OWNER <br /> LOCKMAN, STEVEN& SONJA <br /> 115 LUCE LINE RIDGE <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,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 reyuires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due�ause. <br /> / / / / <br /> Applicant Permitee Signature Date �� <br /> Issued y nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />