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� ,� �, CITY OF ORONO * 2 0 1 7 - 0 1 1 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 <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 : $ 2,265.00 <br /> NOTE: REPLACE(1)WINDOW WITHIN EXISTING OPENMG <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.13 <br /> 1920 COLJNTY RD C.WEST TOTAL 94.02 <br /> ROSEVILLE,MN 55113 Payment(s) <br /> (612)502-4777 CREDIT CARD 8788 94.02 <br /> Minnesota State License#:BUIL-BC130983 <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. , <br /> � � / / 6 <br /> Applicant Permitee Signature Date Issued ignature Date <br />