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CITY OF ORONO PERMIT NO.: 2009-00893 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuEn: 12/2U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1220 LYMAN AVE <br /> PIN : 35-118-23-34-0016 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTNITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 9,900.00 <br /> NOTE: SEPERATE PERMI'I'S REQUIRED:ELECTRICAL(STATE) <br /> RGMOVE PATIO DOOR&WINDOW,INSTALL NEW DOOR&W[NDOW INTO LARGER OPENINGS(NEW HEADERS). <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> PLEKKENPOL BUILDERS STATE SURCHARGE(VALUATION) 4.95 <br /> 401 E 78TH ST <br /> BLOOM[NGTON, MN 55420- PLAN REVIEW 124.64 <br /> (952)888-2225 TOTAL 321.34 <br /> Minnesota State License#: 1797 PAID WITH CC# 3439 <br /> OWNER <br /> BENSON, SEAN&ALISA <br /> 1220 LYMAN AVE <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 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 /> The applica.��s responsible fef"�suring all required inspections are <br /> requested n cohformalrce,w'itt�4fie State Building Code.This permit may be <br /> � <br /> revoked an�tim�or�turcause. ,� �j,�j /� - �-/ ����' <br /> i � ��l ��l C'�� '� 1 / L i ('�1�ir� / / <br /> App��eant Fermite�S��gnature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />