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CITY OF ORONO PERMIT NO.: 2010-00786 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 845 WILLOW DR S <br /> PIN 10-117-23-22-0002 <br /> LEGAL DESC UNPLATTED 10 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 4,734.00 <br /> NOTE: REPLACING(10)WINDOWS INTO EXISITNG OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00 <br /> 2211 11TH AVE.E. <br /> MN 55109- MAIL-IN FEE 2.00 <br /> (651)770-5570 TOTAL 125.00 <br /> Minnesota State License#:BC 2035684 PAID WITH CC# 0074 <br /> OWNER <br /> WILLIAMS,ROBERT&JORDANNA <br /> 845 WILLOW DR S <br /> 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 conformanee with the State Building Code.This permit may be <br /> revoked at anytimefor due cause. <br /> Applicant Permitee Signature Date Issued By gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />