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� � CITY OF ORONO PERMIT NO.: 2012-00050 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OU23/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1695 FOX ST <br /> PIN : 03-117-23-44-0003 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 39,000.00 <br /> NOTE: THIS PERMIT IS FOR RESIDING AND REPLACEMENT OF WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 563.50 <br /> CONTRACTOR CONCEPTS INC. STATE SURCHARGE(VALUATION) 19.50 <br /> 12022 BLACKFOOT ST <br /> COON RAPIDS, MN 55433- MAIL-IN FEE 2.00 <br /> (952)473-2290 TOTAL 585.00 <br /> Minnesota State License#: BC131647 PAID WITH CC# 4663 <br /> OWNER <br /> CATHCART, MR. &MRS. RICHARD <br /> 1695 FOX ST <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 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.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> Thc 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 du cause. <br /> � / �� �O � � / / � <br /> Applican Permitee Signature Date Issue Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />