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'* CITY OF ORONO PERMIT 1v0.: 2009-00875 <br /> , " 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: 12/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 669 MINNETONKA HGLD LA <br /> PIN : 06-117-23-44-0007 <br /> LEGAL DESC : MINNETONKA HIGHLANDS ESTATES <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,289.00 <br /> NOTE: REPLACE(1)PATIO DOOR IN EXISTING OPENING. <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 1.14 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-8826 TOTAL 91.64 <br /> Minnesota State License#: 20268257 <br /> OWNER <br /> HUMPHREY, MR.& MRS. <br /> 669 MINNETONKA HGLD LA <br /> LONG LAKE, MN 55356 <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."Chis 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� � � � / / <br /> Applicant Permitee Signature Date Issued By gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />