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� y <br /> CITY OF ORONO PERMIT NO.: 2oos-oo2�2 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 10/07/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2106 SHADYWOOD RD <br /> PIN : 17-117-23-42-0017 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,810.00 <br /> NOTE: (1)WINDOW REPLACEMENT IN EXISTING OPENING. <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 1.91 <br /> 15300 25TH AVE N.-SUITE# 100 <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 1.50 <br /> (952)345-6047 TOTAL 106.66 <br /> Minnesota State License#:20165884 <br /> OWNER <br /> JR.,WILLIAM SIME <br /> 653 SHADYWOOD RD <br /> MARCO ISLANDS,FL 34145 <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 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 caus <br /> . <br /> / / /��07 / O�' <br /> Applicant Permitee Signatu Date I By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />