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." �,' <br /> CITY OF ORONO PERMIT NO.: 2010-01154 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssUEn: 11/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 142 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0044 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACT[VITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 17,269.00 <br /> NOTE: <br /> (12)WINDOW REPLACFMENTS INTO F_XISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 8.63 <br /> 1�300 25TH AVE N. -SUITE# 100 <br /> PLYMOUTH, MN �5447 TOTAL 318.38 <br /> (952)345-6047 PAID WITH CC# 0166 <br /> Minnesota State License#: 20165884 <br /> OWNER <br /> SIMPSON, MICHAEL <br /> 142 CHEVY CHASE DRIVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for���hich this permit is issued shal�be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State[�uilding Code. 'fhis permit is for only the work described and does <br /> not grant permission for additional or related work���hich requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or nol specified hercin.This permi[will <br /> expire and become null and void if construction autliorized is no[ <br /> commenced within 180 days of U�e date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> "I�he applicant is responsible for assuring all required inspections are <br /> requested in conlormance with the SLale Building Code.This permit may be <br /> rev d at any time for due •ause. <br /> ' //� �3� /D /l � Q <br /> Applicant crmitee Sig ture Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />