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CITY OF ORONO PERMIT 1Y0.: 2oiaoo63i <br /> �' 2750 KELLEY PARKWAY <br /> , " ORONO, MN 55356- DATE ISSUED: 07/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3452 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0018 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 017 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,737.00 <br /> NOTE: REPLACE(3)WINDOWS,(1)PATIO DOOR AND(1)ENTRY DOOR INTO EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 5.00 <br /> 15300 25TH AVE N. -SUITE# 100 <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (952)345-6047 TOTAL 184.00 <br /> Minnesota State License#: 20165884 <br /> OWNER <br /> MARTIN, CORBIN <br /> 3452 LIVINGSTON 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 additiona]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 ot 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� <br /> �'�,`'J� c-'ti' / / / / <br /> Applicant Permitee Signature Date [ssued By Si ature D e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />