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� � <br /> CITY OF ORONO * 2 0 1 3 - 0 0 5 6 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2705 SHADYWOOD RD <br /> PIN : 21-117-23-24-0003 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 025 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY ; O/S BUILDING-UNDEFINED <br /> VALUATION : $ 18,169.00 <br /> NOTE: (16)WINDOW REPLACEMENTS <br /> APPLICANT pERMIT FEE SCHEDULE 324.50 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 9.08 <br /> 15300 25TH AVE N. -SUITE# 100 <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (952)345-6047 TOTAL 335.58 <br /> Minnesota State License#: BC645090 <br /> OWNER <br /> NEWRAI, SOHRAB&JULIE <br /> 2705 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 onty 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 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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau e. <br /> � � �P �'�7i13 � 1a17 / <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />