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� � ` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 � — 0 1 1 6 6 * <br /> DATE ISSUED: 09/20/2017 <br /> ORONO,MN�55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1680 SHADYWOOD RD <br /> PIN : 17-117-23-21-0016 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,456.00 <br /> NOTE: REMOVE AND REPLACE(3)WINDOWS-SAME SIZE-NO STRUCTURAL CHANGES <br /> APPLICANT PERMIT FEE SCHEDULE 139.36 <br /> STATE SURCHARGE(VALUATION) 2.73 <br /> HOME DEPOT USA,INC. MAIL-IN FEE 2.00 <br /> 2455 PACES FERRY RD TOTAL 144.09 <br /> ATLANTA,GA 30339- <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#:BUIL-BC147263 CREDIT CARD 7660 144.09 <br /> OWNER <br /> DOLEMAN,JOHN <br /> 1680 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perforrned according W <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws 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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. , _ <br /> � 9 ,a.o �/ 7 <br /> Applicant Pe 'ee ignature Date Issue Si e Date <br />