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- � , <br /> �"� • CITY OF ORONO � <br /> * 2 0 1 4 - 0 PJ 3 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3050 SUSSEX RD <br /> PIN : 04-117-23-32-0010 <br /> LEGAL D SC : FOX BEND <br /> : LOT 004 BLOCK 001 <br /> PERMIT YPE : MINOR ALTERATIONS <br /> PROPER Y TYPE : RES[DENTIAL <br /> CONSTR CTION TYPE : WINDOWS <br /> ACTIVIT : O/S BUILDING -UNDEFINED <br /> VALUATI N : $ 5,045.00 <br /> NOTF,: WI DOW RF.PLACEMENT IN EX[STING OYENINGS <br /> � <br /> I <br /> � <br /> APPL[CANT PERMIT FEE SCHEDULE 132.75 <br /> STATE SURCHARGE(VALUATION) 2.52 <br /> HAMEL UILDING CENTER TOTAL 135.27 <br /> 18710 HI HWAY 55 Payment(s) <br /> PLYMO TH, MN 55446- CHECK 31986 135.27 <br /> (763)478- 601 <br /> Minnesot State License#: BUIL-20631040 <br /> OWNER <br /> FEUSS, IHARLES & LINDA <br /> 3050 SU SEX RD <br /> LONG L KE, MN 55356- <br /> A REEMENT AND SWORN STATEMENT <br /> The work r which this permit is issued shall be performed according to <br /> the approv d plans nnd specitications,applicable City approvals,and the <br /> State Buil ing Code. This permit is for only the work described and does <br /> not grant ermission for additional or related work which requires separate <br /> permits. II provislons of laws and ordinances governing this type of work <br /> shall be c pied with whether or not specified herein.1�his permit will <br /> expire an become null and void if construction authorized is not <br /> commene d within 180 days of the date of issuance,or if construction is <br /> suspende for a period of 180 days at any time after work has commenced. <br /> The appli ant is responsible for assuring all required inspections are <br /> requested n conformance with the State Building Code.This permit may be <br /> revoked a any time for due cause. <br /> ..� - s� ----� � .���1� � � i� <br /> Applica t Permitee 'gnature Da[e Iss �d By Signature Date <br /> � ii <br />