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CITY OF ORONO I* zl 0 Ii 7 I 0 1 4 8 5 <br /> 2750 KELLEY PARKWAY * <br /> DATE ISSUED: 11/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4705 WATERTOWN RD <br /> PIN : 31-118-23-22-0003 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,280.00 <br /> NOTE: REPLACE(2)WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 139.36 <br /> STATE SURCHARGE(VALUATION) 2.64 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C.WEST <br /> ROSEVILLE,MN 55113 TOTAL 144.00 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 144.00 <br /> OWNER <br /> PRCHAL,DEREK&KELLY <br /> 4705 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 /> of # <br /> cp /7 / /77 <br /> Applicant Permitee Signature Date Issue( By pgnature Date <br />