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CITY OF ORONO * z 0 1 5 - 0 1 1 5 8 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 09/1 U2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2948 CASCO POINT RD <br /> PIN : 20-117-23-31-0036 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0461 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTIOK TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,594.00 <br /> NOTE: 1 WINDOW REPLACEMENT IN EXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 92.93 <br /> STATE SURCHARGE(VALUATION) 1.30 <br /> PELLA NORTHLAND MAIL-IN FEE 2.00 <br /> 15300 25TH AVE N.- SUITE# 100 <br /> PLYMOUTH, MN 55447- TOTAL 96.23 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CRED[T CARD 0182 96.23 <br /> OWNER <br /> JOHNCOX, PAUL <br /> 2948 CASCO PO[NT 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 goveming 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 wmmenced. <br /> The applicant is responsible for assuring all cequired inspections are <br /> requested in conformance with the State Building Code.This permit may be , <br /> revoked at any time for due cause. � ��—E� <br /> 1 <br /> V � �1 �_ r � �����—,�S D � <br /> j � �i( 1��� C� ��� U� C7'� —( ���� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />