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CITY OF ORONO PERMIT NO.: 2011-01282 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/25/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3760 NORTHERN AVE <br /> PIN 17-117-23-34-0051 <br /> LEGAL DESC SOUTHVIEW ESTATES <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,096.00 <br /> NOTE: REPLACE 1 ENTRY DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 1.55 <br /> 15300 25TH AVE N.-SUITE# 100 <br /> PLYMOUTH,MN 55447 MISC FEE 0.00 <br /> (952)345-6047 MAIL-IN FEE 2.00 <br /> Minnesota State License#:20165884 TOTAL 106.80 <br /> OWNER <br /> QUAM,MR.&MRS.JOHN <br /> 3760 NORTHERN 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 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 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ttiime�for due cause. � <br /> Applicant Permitee Signature Date Issued By 91n &V&Ilate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED O . <br />