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4 CITY OF ORONO * 2 0 1 6 - 0 1 3 9 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 V0812016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1065 TAMARACK DR <br /> PIN 26-118-23-31-0018 <br /> LEGAL DESC UNDERHILL FARM SECOND ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 2,392.00 <br /> NOTE: WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.20 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY,STE 300 TOTAL 96.09 <br /> ATLANTA,GA 30339- <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#:BUIL-CR268257 CHECK 76438 96.09 <br /> OWNER <br /> REDER,DEAN&JEANINE <br /> 1065 TAMARACK RD <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 /> Nfl <br /> Applicant Permitee i ture Date Issued ty S ature Date <br />