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� <br /> t * CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 1 9 8 * <br /> DATE ISSUED: 09/26/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3185 SIXTH AVE N <br /> PIN : 28-118-23-32-0006 <br /> LEGAL DESC : LJNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 2,162.00 <br /> NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.08 <br /> THE HOME DEPOT A.H.S. TOTAL 93.97 <br /> 2690 CUMBERLAND PKWY,STE 300 payment(s) <br /> ATLANTA,GA 30339- CHECK 75950 93.97 <br /> (763)542-8826 <br /> Minnesota State License#:BUIL-CR268257 <br /> OW1�1ER <br /> BRANTINGHAM,HENRY&NANCY <br /> 3185 SIXTH AVE N <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 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 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 /> . <br /> � � � �� ��o <br /> Applicant Permitee Signature ate Issued By gnature Date <br />