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r _ 1 CITY OF ORONO * 2 0 1 5 - 0 1 4 4 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/10/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2525 THOROUGHBRED LA <br /> PIN 04-117-23-11-0020 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 003 BLOCK 002 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 7,531.00 <br /> NOTE: REPLACE(3)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 170.38 <br /> STATE SURCHARGE(VALUATION) 3.77 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST <br /> TOTAL 176.15 <br /> ROSEVILLE,MN 55113 <br /> Payment(s) <br /> (612)502-4777 <br /> Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 176.15 <br /> OWNER <br /> BAKKEN,BRADLEY&MARY <br /> 2525 THOROUGHBRED LA <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 /> 1(��) I o <br /> Applicant PerWiwe Signature Date Issued ignature Date <br />