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'� � ` CITY OF ORONO * 2 0 1 5 - PJ 0 3 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSiJED: 04/08/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2685 SHADYWOOD RD <br /> PIN : 21-117-23-23-0050 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1453 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 25,808.00 <br /> NOTE: REPLACE(11)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 444.94 <br /> STATE SURCHARGE(VALUATION) 12.90 <br /> RENEWAL BY ANDERSON ivlpIL-IN FEE 2.00 <br /> 1920 COLTNTY RD C.WEST TOTAL 459.84 <br /> ROSEVILLE,MN 55113 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 459.84 <br /> OWNER <br /> BROWN,RICHARD W&MARION H <br /> 2685 SHADYWOOD RD <br /> ,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this pertnit 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 separate <br /> permiu. 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 1 SO 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�vl LL.l.E'.LLC-1 / l <br /> Applicant Permttee Signature Date Issu y Sigr►ature Da e <br />