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' � CITY OF ORONO * 2 B 1 4 - 0 0 4 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/27/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 740 BROWN RD N <br /> PIN : 34-118-23-12-0002 <br /> LEGAL DESC : UNPLATTED 34 118 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 : $ 7,488.00 <br /> NOTE: RL;PLACE 9 WINDOWS IN EXIS"1'ING OPL;NINGS <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> STATE SURCHARGE(VALUATION) 3.74 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> 30339- TOTAL 167.99 <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#: BUIL-20268257 CHECK 681 13 167.99 <br /> OWNER <br /> MABUSTH, SCOTT <br /> 740 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this permit is issued shall be perfonned accordin�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 /> permi[s. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specifled 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 requircd inspections are <br /> requested in conformance with the State Building Code.'I�his permit may be <br /> revoked at any time for due cause. <br /> ' s , a�, �� <br /> Applicant Permitee Signa w�e D e [ss d E3y Signature Date <br />