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CITY OF ORONO I�' I II I 1 I'' <br /> * 2015 _ 00426 * <br /> _,,� 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2015 <br /> ORONO, MN 55356- <br /> 1 (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 435 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-31-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 001) BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDE$ITIAL <br /> CONSTRUCTION TYPE : DOORS 1 <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> NOTE: REPLACE I DOOR IN EXISTING OPENING <br /> i <br /> APPLICANT PERMIT FEE SCHEDULE 77.44 <br /> STATE SURCHARGE(VALUATION) 1.00 <br /> DESIGN CRAFT CONSTRUCTION INC. TOTAL 78.44 <br /> 3333 80TH AVE N Payment(s) <br /> BROOKLYN PARK,MN 55443- CREDIT CARD 0143 78.44 <br /> (612)597-5989 I <br /> Minnesota State License#:BUIL-BC69?71134 <br /> OWNER <br /> HEMMEKE,MELISSA A <br /> 435 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356- 1 <br /> AGREEMENT AND SWORN TATEMENT <br /> The work for which this permit is issued shall be(performed according to <br /> the approved plans andlspecifications,applicabler 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 ordinancesveming 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 uthorized is not <br /> commenced within 180 days of the date of issu ce,or if construction is <br /> suspended for a period of 180 days at any time er work has commenced. <br /> The applicant is responsible for assuring all req fired inspections are <br /> requested in conformance with the State Buildi Code.This permit may be <br /> revoked at any time for due cause. <br /> Aatei -----ci," (---66_,A.A. 0,,,,,,, a I ,-( i&--- <br /> Date SignatureDate <br /> Applicant Permitee� �gnature Issued By <br /> i <br />