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' � ' CITY OF ORONO <br /> * 2 0 1 5 - 0 1 4 2 0 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 1U05/2015 <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 /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 1,800.00 <br /> NO"I'E: MODIFY EXIST[NG WINDOW TO MEET CODE. -REPLACE ONE EXISTING WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 70.58 <br /> PLAN REVIEW 45.88 <br /> GREENE CONSTRUCTION CIRCLE STATE SURCHARGE(VALUATION) 0.90 <br /> 2233 HAMLINE AVE N#125 <br /> ROSEVILLE, MN 55113- TOTAL 117.36 <br /> (612)501-7954 Payment(s) <br /> Minnesota State License#: BUIL-BC635870 CREDIT CARD 0662 11736 <br /> OWNER <br /> BROWN, RICHARD W& MARION H <br /> 2685 SHADYWOOD RD <br /> , MN 55331- <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 not <br /> commenced within 180 days of the date of issuance,or if consCruction is <br /> suspended for a period of 180 days at any time afrer 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 /> — --- , <br /> ;— _ � <br /> ,... ,--- �- <br /> z L C�c',c��( � d �; �, ��, �, , � _�,1� <br /> Applicant Permitee Signature Da[e ssued� ignature Date <br /> , <br />