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, CITY OF ORONO * Z 0 1 6 — 0 0 3 7� <br /> , 2750 KELLEY PARKWAY DATE ISSUED: OMiS/2016 <br /> ORONO,MN 55356- <br /> 952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2024 SHADYWOOD RD <br /> PIN : 17-117-23-31-0011 <br /> LEGAL DESC : GUST S JOHNSONS ADDN <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,100.00 <br /> NOTE: ADD SMGLE CASEMENT EGRESS&GAL.STEEL EGRESS WELL(SEE SITE PLAN) <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.05 <br /> EGRESS WINDOW GUY TOTAL 93.94 <br /> 3410 KILMER LANE N Payment(s) <br /> PLYMOUTH,MN 55441- CREDIT CARD 8831 93.94 <br /> (763)5442775 <br /> Minnesota State License#:BUIL-BC665399 <br /> OWNER <br /> HIEFFER,JOHN&BENJAMIN <br /> 2024 SHADYWOOD RD <br /> WAYZATA,,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 suthorized is not <br /> commenced within I80 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 /> ` ' L� �/ ,� <br /> ��11��� �i;� � <br /> Applicant Permitee Signature �� Date Issued By Signature Date <br />