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� CITY OF ORONO * Z 0 1 5 - 0 0 4 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/16/2015 <br /> � ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 SHADYWOOD RD <br /> PIN : 21-117-23-24-0056 <br /> LEGAL DESC : CHAPMAN ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,250.00 <br /> NOTE: 2 PATIO DOOR REPLACEMENTS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 185.87 <br /> STATE SURCHARGE(VALUATION) 4.13 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> ATLANTA,GA 30339- TOTAL 192.00 <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#: BUIL-CR268257 CREDIT CARD 0174 192.00 <br /> OWNER <br /> PAULSON, STEPHEN&BOTHAINA <br /> 2695 SHADYWOOD RD <br /> EXCELSIOR,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 sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced witt►in 180 days of the date of issuance,or if conswction is <br /> suspended for a period of I80 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 /> ��� , ���►�1,�.-W�. � � � �l�a � <br /> J ��x c��— , <br /> Applicant Permitee Signature Date Issued By Signature Date <br />