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VL <br /> CITY OF ORONO * 2012 - 0094S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2703 WALTERS PORT LA <br /> PIN : 21-117-23-23-0042 <br /> LEGAL DESC : WALTERS PORT <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNbEFINED <br /> VALUATION : $ 4,116.00 <br /> NOTE: REPLACE(1)DOOR WITHIN EXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.06 <br /> 1920 COUNTY RD C.WEST <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 122.06 <br /> Minnesota State License#: BC 130983 PAID WITH CC# 8788 <br /> OWNER <br /> REESE,MR.&MRS. WILLIAM <br /> 2703 WALTERS PORT LA <br /> EXCELSIOR,MN 55331- <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 time for due cause.Applicant Permitee Signature Date ISS9 fBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />