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CITY OF ORONO PERMIT NO.: 2010-00028 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: OU2U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 PHEASANT RD � <br /> PIN : 21-117-23-23-0012 � <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 008 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT]AL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTI VITY . O/S GE�I£��L r���,��i �:� ;� ���-, t :,..:� . ;.� ��, .,�,__� <br /> VALUATION : $ 2,024.00 <br /> NOTE: REPLACE FRONT DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> NORTHERN EXTREMES REMODELING LLC STATE SURCHARGE(VALUATION) 1.01 <br /> 13326 HIGHWAY 65 TOTAL 89.51 <br /> HAM LAKE, MN 55304- <br /> (763)434-0025 <br /> Minnesota State License#:20342345 <br /> OWNER <br /> JOHNSON,ADAM &CATHERINE <br /> 2695 PHEASANT RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> "Che 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 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 l80 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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at time for�ye cau . <br /> � �-•,� <br /> �.1�`" -� _ � l�- 1 / / ` � �� f�`l %� � l l <br /> Appl' ant Permitee Si�nature Date Issued By Si ure ;'�a�e <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE_�' <br />