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� CITY OF ORONO <br /> . * 2 0 1 4 - 0 0 8 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4565 BAYSIDE RD <br /> PIN : 06-117-23-21-0005 <br /> LEGAL DESC : UNPLATTED 06 1 17 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 : $ 5,352.00 <br /> NO'CF,: 2 WINDOW RF?PLACEMEN"I�S IN EXIS"I�ING OPE'�INGS <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> STATE SURCHARGE(VALUATION) 2.68 <br /> HOME DEPOT AT HOME SERVICES MAIL-IN FEF, 2.00 <br /> 2690 CUMBERLAND PKWY SUITE 30 <br /> ATLANTA, GA 30339- TOTAL 137.43 <br /> Minnesota State License#: BUIL-20268257 Payment(s) <br /> CHECK 68918 137.43 <br /> OWNER <br /> RENNEBOHM, PETER& SHARON <br /> 4565 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall bc 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 rela[ed 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 specifiied herein.'I'his 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 commenecd. <br /> 'I'he applicant is responsible for assuring all required inspections are <br /> requested in conYormance with the State E3uilding Code.'I'his permit may be <br /> revoked at any time for due cause. <br /> �../'l.l�-�� �_ l l <br /> Applicant Pcrmitee Signature Date Issued By 'gnature �� Date <br />