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iiiiiiiiiiiiiiiiiiiiiillillillillillillil <br /> CITY OF ORONO * 2012 - 00308 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2490 OLD BEACH RD <br /> PIN 21-117-23-22-0005 <br /> LEGAL DESC SHORE HILLS <br /> LOT 004 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,779.00 <br /> NOTE: (2)PATIO DOOR REPLACEMENTS <br /> PELLAPPLICANT PERMIT FEE SCHEDULE 191.75 <br /> 15300 25TH AVE N.-SUITE# 100 NORTHLAND STATE SURCHARGE(VALUATION) 4.89 <br /> 15300 <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (952)345-6047 TOTAL 198.64 <br /> Minnesota State License#:BC645090 <br /> OWNER <br /> MCINTEE,SHAWN&JACQUELINE <br /> 2490 OLD BEACH RD <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 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 four due cause. <br /> Applicant Permitee Signature Date Issued By Si tore ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />