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CITY OF ORONO * z p� 1 5 - 0 0 8 3 5 * <br /> '" 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1940 SHADYWOOD RD <br /> PIN : 17-117-23-24-0023 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,482.00 <br /> NOTE: 6 WINDOW REPLACEMENTS IN EXIST[NG OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 108.42 <br /> STATE SURCHARGE(VALUAT[ON) 1.74 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> ATLANTA, GA 30339- TOTAL 112.16 <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#: BUIL-CR268257 CREDIT CARD 0174 112.16 <br /> OWNER <br /> MACCHARLES,MALCOM&VIRGINIA <br /> 7041 HALSTEAD DR <br /> M[NNETRISTA, MN 55364- <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 no[ <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 Sta[e Building Code.This permit may be `/�, <br /> revoked at any time for due cause. � �l <br /> , <br /> , <br /> , <br /> � � 1 c� � ( c� ��; _ �- �� � �� �r s� �� �� ,�_ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />