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CITY OF ORONO * 2017 - 00034 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 240 WAKEFIELD RD <br /> PIN : 36-118-23-31-0011 <br /> LEGAL DESC : WAKEFIELD FARMS 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DOORS <br /> A-o-71 V cry 0/5 Bide, <br /> VALUATION $ 9,214.00 <br /> NOTE: (1)PATIO DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 201.32 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 4.61 <br /> 15300 25TH AVE N.-SUITE# 100 Payment(s) TOTAL 205.93 <br /> PLYMOUTH,MN 55447- CHECK 76851 205.93 <br /> (952)345-6047 <br /> Minnesota State License#:BUIL-BC645090 <br /> OWNER <br /> FERRIL,WILLIAM&ELENOR <br /> 240 WAKEFIELD RD <br /> WAYZATA,MN 55391- <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 /> e _ �iP_1 <br /> Applicant Permitee Signature Date Issued Signature Date <br />