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� � <br /> ► <br /> CITYOFORONO * 2017 - 00786 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2675 SILVER VIEW DR <br /> PIN : 33-118-23-42-0012 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 39,387.00 <br /> NOTE: REPLACE(17)WINDOWS AND(1)ENTRY DOOR W[THIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 603.02 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 19.69 <br /> 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 <br /> ROSEVILLE, MN 55113 TOTAL 624.71 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 624.71 <br /> OWNER <br /> JACQUEMART, RICH&JENNIFER <br /> 2675 SILVER VIEW DR <br /> LONG LAKE, MN 55356- <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 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 /> C- l� —�-c��2� i ��-i�7 <br /> Applicant Permitee Signature _ Date Issued B ignature Date <br />